NPI | 1063256295 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY BARTOLO Executive Vice President 206-763-5277 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2024-06-21 |
Last Update Date | 2024-06-21 |