| NPI | 1366591562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MEYE CEO 703-680-6524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2023-12-18 |