Organization
COMMUNITY CLINIC INC
Active
Other names
CCI Health & Wellness Services
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN A KNOLHOFF M.P.H. (CHEIF EXECUTIVE OFFICER & PRESIDENT)
(240) 499-2609
Entity
Organization
Contact information
Practice address
2 TAFT CT, ROCKVILLE, MD 20850-1307
(240) 753-7895
(301) 424-3948
Mailing address
8630 FENTON ST, SUITE 1204, SILVER SPRING, MD 20910-3806
(301) 340-7525
(301) 495-0318
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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