NPI | 1740976588 |
---|---|
Entity Type | Organization |
Authorized Contact | REMONICA RAINEY Controller 703-535-5536 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-04-14 |
Last Update Date | 2023-04-14 |