| NPI | 1437830007 |
|---|---|
| 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 | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 207Q00000X Family Medicine | |
| 363A00000X Physician Assistant | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2023-07-27 |