NPI | 1134248198 |
---|---|
Entity Type | Organization |
Authorized Contact | VINCENT A. KEANE President CEO 202-715-7975 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2020-05-13 |