| NPI | 1962520288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA GOMEZ President/ CEO 202-420-7162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: DC H80CS04202) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology |
| 207VX0000X Obstetrics & Gynecology, Obstetrics | |
| 251B00000X Case Management | |
| 261QD0000X Clinic/Center, Dental (Licence: DC 64001664) | |
| 261QM0801X (Licence: DC 64001664) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-09-23 |