| NPI | 1467034033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA J BRUTON CEO 240-839-5107 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics |
| 207R00000X Internal Medicine | |
| 251V00000X Voluntary or Charitable | |
| 363LF0000X Nurse Practitioner Family | |
| 261QC1500X Clinic/Center Community Health | |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2024-12-13 |