| NPI | 1629109806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDEEP DHINDSA Chief Financial Officer 703-840-4707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QR0206X Clinic/Center Radiology, Mammography |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2024-09-04 |