| NPI | 1235498122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY Z. MURDAUGH Executive Director 301-745-3777 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2022-04-07 |