| NPI | 1205484813 |
|---|---|
| Doing Business As | NEIGHBORCARE HEALTH DENTAL AT PROVIDENCE ST. PETER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL ERIKSON CEO 206-548-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-08-27 |