| NPI | 1336851559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS HERNANDEZ CEO 509-422-7601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2022-12-19 |