NPI | 1487123758 |
---|---|
Other Name | TRIUMPH |
Entity Type | Organization |
Authorized Contact | VICTORIA ROBERTS Vice President, Health Services 202-407-7748 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2018-11-16 |
Last Update Date | 2022-02-17 |