| NPI | 1154674026 |
|---|---|
| Doing Business As | ENGLESIDE |
| Entity Type | Organization |
| Authorized Contact | BASIM KAHN CEO 703-535-5568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2015-05-13 |