| NPI | 1225085624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA HAUFF Chief Operating Officer 509-454-4143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2015-03-03 |