| NPI | 1184007817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUHANIS SALEH Director Of Finance And Admin 301-841-0833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2024-08-28 |