| NPI | 1396813390 |
|---|---|
| Doing Business As | NEIGHBORCARE HEALTH AT ROOSEVELT HIGH SCHOOL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL ERIKSON Chief Executive Officer 206-461-6935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2018-01-12 |