| NPI | 1962520288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE MARGARETA POWELL-DAVIS Chief Medical Officer 202-424-2655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: DC H80CS04202) |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: DC 64001664) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QD0000X Clinic/Center, Dental (Licence: DC 64001664) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2025-09-29 |