NPI | 1326221821 |
---|---|
Entity Type | Organization |
Authorized Contact | ROGELIO RIOJAS CEO 206-788-3204 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2007-12-07 |
Last Update Date | 2010-04-01 |