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Organization

BREAD FOR THE CITY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RANDI CAROL ABRAMSON MD (CHIEF MEDICAL OFFICER)
(202) 265-2400
Entity
Organization

Contact information

Practice address
1700 GOOD HOPE ROAD SE, WASHINGTON, DC 20020
(202) 386-7020
(202) 265-1970
Mailing address
1525 7TH ST NW, WASHINGTON, DC 20001-3201
(202) 265-2400
(202) 265-1050

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
08/20/2021
Last updated
12/28/2021
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