NPI | 1255803599 |
---|---|
Other Name | SEA MAR CHC WHITE CENTER SUD |
Entity Type | Organization |
Authorized Contact | ROGELIO RIOJAS CEO 206-763-5277 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2018-12-27 |
Last Update Date | 2024-03-12 |