| NPI | 1699941815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLICIA NELSON Executive Director, Payor Relations 301-572-6281 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: DC HFD01-0208) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2023-03-31 |