NPI | 1184018954 |
---|---|
Other Name | EAST MISSION |
Entity Type | Organization |
Authorized Contact | AARON WILSON CEO 509-444-8888 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2015-03-19 |
Last Update Date | 2018-10-11 |