NPI | 1427864586 |
---|---|
Entity Type | Organization |
Authorized Contact | BRUCE BRAZIER Administrative Services Director 360-475-6715 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 385H00000X Respite Care |
Enumeration Date | 2024-12-04 |
Last Update Date | 2024-12-04 |