NPI | 1114066297 |
---|---|
Entity Type | Organization |
Authorized Contact | VINCENT A. KEANE Chief Executive Officer 202-715-6562 |
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 | 2007-02-06 |
Last Update Date | 2020-05-13 |