| NPI | 1346431319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUYEN SAVAGE Credentialing COO Rd. 206-548-3012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2010-09-01 |