| NPI | 1487650636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL NAVARRO CEO 509-664-3528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: WA 601108231) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 133V00000X Dietitian, Registered | |
| 176B00000X Midwife | |
| 261QC1500X Clinic/Center Community Health (Licence: WA 601-108-231) | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QU0200X Clinic/Center Urgent Care | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2024-02-28 |