| NPI | 1972310621 |
|---|---|
| Doing Business As | CCACC HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | HUIXING LU Clinic Director 301-820-7200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208100000X Physical Medicine & Rehabilitation | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 251S00000X Community/Behavioral Health | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2024-12-16 |