NPI | 1467034033 |
---|---|
Doing Business As | CCI HEALTH SERVICES |
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 | 207R00000X Internal Medicine |
2251P0200X Physical Therapist, Pediatrics | |
251V00000X Voluntary or Charitable | |
261QC1500X Clinic/Center, Community Health | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2021-04-23 |
Last Update Date | 2024-12-13 |