NPI | 1750633855 |
---|---|
Doing Business As | MARY'S CENTER FOR MATERNAL AND CHILD CARE, INC. |
Entity Type | Organization |
Authorized Contact | MARANGELY NAZARIO Credentialing Manager 202-420-7175 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
261QD0000X Clinic/Center, Dental | |
Enumeration Date | 2012-10-12 |
Last Update Date | 2016-09-26 |