| NPI | 1417535121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA S. GOMEZ Chief Executive Officer 202-276-4027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| 261QM0801X | |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2021-04-01 |