NPI | 1326505090 |
---|---|
Doing Business As | CCI HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | SONYA J BRUTON CEO 240-839-5107 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
207RI0200X Internal Medicine, Infectious Disease | |
208000000X Pediatrics | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2019-02-28 |
Last Update Date | 2023-11-09 |