| NPI | 1366425266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID F BECKER CFO 301-745-3777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2023-12-05 |