NPI | 1649601154 |
---|---|
Entity Type | Organization |
Authorized Contact | DEREK SYKES VP Of Finance And Operations 202-407-7747 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 251B00000X Case Management |
261Q00000X Clinic/Center | |
261QD0000X Clinic/Center, Dental | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2013-12-09 |
Last Update Date | 2022-11-02 |