Organization
DISTRICT CLINIC HOLDINGS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARCY DAVIS (CEO)
(561) 804-5885
Entity
Organization
Contact information
Practice address
1250 SOUTHWINDS DR, LANTANA, FL 33462
(561) 582-5559
(561) 439-4384
Mailing address
1515 N FLAGLER DR STE 101, WEST PALM BCH, FL 33401-3429
(561) 659-1270
(561) 833-9469
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008037100
—
FL
05
—
008037101
—
FL
Enumeration date
01/14/2013
Last updated
03/10/2020
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