NPI | 1316130768 |
---|---|
Other Name | SEA MAR CHC MT VERNON BEHAVIORAL HEALTH - COLLEGE WAY |
Entity Type | Organization |
Authorized Contact | ROGELIO RIOJAS CEO 206-763-5277 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WA 6 H80CS00 455-05-03) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA 6 H80CS00 455-05-03) |
Enumeration Date | 2007-08-20 |
Last Update Date | 2024-03-12 |