| NPI | 1225716947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA BUNCH CFO 509-488-5250 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2023-07-13 |