| NPI | 1245378298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER LUCERO Executive Director 206-324-9360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WA 600440936) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2021-03-12 |