| NPI | 1093426140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY AYDELOTT Enrollment Specialist 425-424-6329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2023-04-24 |