| NPI | 1639493133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMASINA M. CAVE Executive Director 202-347-7527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251T00000X PACE Provider Organization (Licence: DC 251T00000X) |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2010-03-26 |