| NPI | 1093894172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA BOYD President/CEO 202-715-6562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| 213ES0131X | |
| 261QD0000X Clinic/Center, Dental | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: DC RX0000114) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2023-04-24 |