| NPI | 1982742987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT KEANE Chief Executive Officer 202-518-6409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-05-13 |