| NPI | 1407101850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BELENY Chief Of Staff 509-525-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WA LW60058779) |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2012-07-20 |