| NPI | 1295307569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR M ESPINOSA Revenue Cycle Manager 253-681-6610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QF0050X Clinic/Center Family Planning, Non-Surgical |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2021-07-15 |