| NPI | 1992260863 |
|---|---|
| Other Name | KETCHAM ELEMENTARY SCHOOL |
| Entity Type | Organization |
| Authorized Contact | VICTORIA ROBERTS VP, Health Services 202-407-7747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2022-02-17 |