| NPI | 1467869693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGELIO RIOJAS Executive Director 206-788-3226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: WA 600537278) |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WA 600537278) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-21 |