| NPI | 1669192365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE CARPENTER CEO 202-290-9838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 207VC0200X Obstetrics & Gynecology, Critical Care Medicine | |
| 208200000X Plastic Surgery | |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 261QC1800X Clinic/Center, Corporate Health | |
| 261QE0002X Clinic/Center, Emergency Care | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QR0800X Clinic/Center, Recovery Care | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 305S00000X Point of Service | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 333300000X Emergency Response System Companies | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2022-09-01 |