| NPI | 1922133164 |
|---|---|
| Other Name | CCI |
| Entity Type | Organization |
| Authorized Contact | SONYA J BRUTON Phd.Psy.D Clinical Psychologist CEO 240-839-5107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2023-11-09 |