NPI | 1821341249 |
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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 | 251B00000X Case Management |
261QD0000X Clinic/Center, Dental (Licence: DC 64001664) | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: DC 64001664) | |
Enumeration Date | 2012-10-23 |
Last Update Date | 2020-09-23 |