| NPI | 1093197287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER F LOWET Executive Director 301-841-0841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2022-09-14 |