| NPI | 1013683762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDI CAROL ABRAMSON Chief Medical Officer 202-265-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2021-12-28 |