| NPI | 1124169073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA J BRUTON CEO & President 240-839-5107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 261QC1500X Clinic/Center Community Health | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2025-08-07 |