| NPI | 1669033106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL MICHELE JONES Authorized Official 202-510-2019 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |