| NPI | 1003395187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA CHILSON CEO 509-766-8971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WA PHHC.FX.60660516) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-08-09 |