| NPI | 1932710183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN RENEE WALKER CEO 202-803-2340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2024-07-17 |