| NPI | 1679217244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOLLIE BURKE ELLIOTT Chief Executive Officer 202-745-3119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2022-04-20 |