| NPI | 1578978136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT A. KEANE President/CEO 202-715-6562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2020-05-13 |