| NPI | 1932369204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT A KEANCE President CEO 202-715-6562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2019-05-13 |