| NPI | 1427331461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN R WALKER CEO/Executive Director 202-425-2313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 122300000X Dentist |
| 261QD0000X Clinic/Center, Dental | |
| 261QM0801X | |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2020-12-10 |