| NPI | 1861686776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT A. KEANE President/CEO 202-715-6562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2020-05-13 |