| NPI | 1699950311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDI ABRAMSON Medical Director 202-386-7020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 251B00000X Case Management |
| 261QD0000X Clinic/Center Dental (Licence: DC DEN1001056) | |
| 261QH0100X Clinic/Center Health Service (Licence: DC 52113XXXX-41005687) | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2020-12-01 |