| NPI | 1043407182 |
|---|---|
| Other Name | SEA MAR CHC PUYALLUP BEHAVIORAL HEALTH |
| 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 600537278) |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2024-03-12 |