| NPI | 1114389533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON A. VAN COOTEN Chief Executive Officer 202-546-7696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2016-03-24 |