| NPI | 1033399928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGELIO RIOJAS CEO 206-763-5277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: WA 600 537 278 1) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: WA 600 537 278 1) | |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2025-01-31 |