| NPI | 1457301939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA J DESHONG Executive Director 301-678-7256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2008-10-14 |