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) |
Additional Taxonomies | 103T00000X Psychologist |
133V00000X Dietitian, Registered | |
207R00000X Internal Medicine | |
208000000X Pediatrics | |
251V00000X Voluntary or Charitable | |
261QC1500X Clinic/Center, Community Health | |
363LW0102X Nurse Practitioner, Women's Health | |
Enumeration Date | 2007-02-21 |
Last Update Date | 2024-12-13 |