| NPI | 1144528043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT A. KEANE President/CEO 202-715-6562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2019-05-13 |