| NPI | 1568129211 |
|---|---|
| Other Name | ISAQ HAMPTON INN |
| Entity Type | Organization |
| Authorized Contact | MUSTAFA MORRIS Credentialing Specialist 202-715-6590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2021-12-13 |