| NPI | 1205151388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORENCE PATRICIA MCEACHRANE-GROSS Medical & Health Director 360-452-6252 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2010-04-19 |