NPI | 1508321761 |
---|---|
Other Name | CSNW BATTLEGROUND |
Entity Type | Organization |
Authorized Contact | JOLEE ANN ELIZABETH SANKEY Credentialing Supervisor 206-474-2001 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2019-02-01 |
Last Update Date | 2019-02-01 |