NPI | 1144629908 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL ERIKSON CEO 206-461-6935 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2014-08-18 |
Last Update Date | 2018-01-12 |