| NPI | 1306916556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ERIKSON Chief Executive Director 206-461-6935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2021-08-25 |