| NPI | 1093044307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BARTOLO Deputy Director 206-788-3224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WA 6005382781) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: WA 6005372781) |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2010-03-31 |