| NPI | 1174086938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBINE K HARDEY CFO 703-443-2000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2019-04-09 |