| NPI | 1043024714 |
|---|---|
| Doing Business As | CHCW MOBILE VAN |
| Entity Type | Organization |
| Authorized Contact | ANGELA GONZALEZ CFO 509-494-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2025-02-04 |