| NPI | 1205098282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGELIO RIOJAS Executive 206-788-3226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2010-04-01 |