| NPI | 1083179154 |
|---|---|
| Other Name | SEA MAR ADOLESCENT MEDICAL |
| Entity Type | Organization |
| Authorized Contact | JOLEE ANN ELIZABETH SANKEY Credentialing Supervisor 206-474-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-02-04 |