| NPI | 1447606462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK SYKES VP Of Finance And Operations 202-407-7747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2022-02-17 |