| NPI | 1093197345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NURIFAH MUHAMAD Director Of Finance & Admin 301-841-0833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2022-08-24 |