| NPI | 1013454867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIEVES GOMEZ CEO 509-488-5256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2022-05-17 |