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 Services (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 |