| NPI | 1629237037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN PFENNIG Manager 202-476-4447 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: DC HFD010208) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |