NPI | 1760148498 |
---|---|
Other Name | ISAQ QUALITY INN |
Entity Type | Organization |
Authorized Contact | MUSTAFA MORRIS Credentialing Specialist 202-715-6590 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-11-17 |
Last Update Date | 2021-11-17 |