| NPI | 1972481232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID F BECKER CFO 301-745-3777 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2025-08-25 |