| NPI | 1124363072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORA TERRELL HAMILTON CEO 202-889-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: DC H80CS24175) |
| Additional Taxonomies | 261QM0801X |
| 251B00000X Case Management | |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2020-10-13 |