NPI | 1154469104 |
---|---|
Entity Type | Organization |
Authorized Contact | ESTHER LUCERO Executive Director 206-324-9360 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WA 600440936) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2007-02-02 |
Last Update Date | 2022-04-08 |