NPI | 1437438058 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT C FARRELL CEO 425-789-3717 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2011-08-12 |
Last Update Date | 2011-08-12 |