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Organization

BREAD FOR THE CITY,INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RANDI ABRAMSON MD (MEDICAL DIRECTOR)
(202) 386-7020
Entity
Organization

Contact information

Practice address
1525 7TH ST NW, WASHINGTON, DC 20001-3201
(202) 265-2400
(202) 265-1970
Mailing address
1525 7TH ST NW, WASHINGTON, DC 20001-3201
(202) 265-2400
(202) 265-1970

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
261QD0000X
Dental Clinic/Center
DEN1001056
DC
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
261QH0100X
Health Service Clinic/Center
52113XXXX-41005687
DC
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
12/31/2007
Last updated
12/01/2020
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