| NPI | 1104251347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACHRISIA LORRAINE MATTHEWS Owner 202-250-4393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: MD LC4547) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2013-09-06 |