| NPI | 1114112687 |
|---|---|
| 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 6 H80CS00445-05-03) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 104100000X Social Worker | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: WA 6 H80CS00445-05-03) | |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2025-01-31 |