| NPI | 1942527874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK PRINCIPI Executive Director 703-680-7950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2010-07-22 |