| NPI | 1770914939 |
|---|---|
| Doing Business As | EVERGREEN TERRACE BUILDING |
| Entity Type | Organization |
| Authorized Contact | GEORGE BARKER CEO 703-670-8858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2015-10-29 |