| NPI | 1376013250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI JOYCE Chief Executive Officer 360-676-6177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2025-01-29 |