NPI | 1407388754 |
---|---|
Doing Business As | CCI HEALTH & WELLNESS SERVICES |
Entity Type | Organization |
Authorized Contact | KATHLEEN A KNOLHOFF Cheif Executive Officer & President 240-499-2609 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2017-03-28 |
Last Update Date | 2017-03-28 |