NPI | 1558574871 |
---|---|
Doing Business As | NEIGHBORCARE HEALTH YOUTH CLINIC AT 45TH STREET |
Entity Type | Organization |
Authorized Contact | MICHAEL ERIKSON CEO 206-461-6935 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-05-07 |
Last Update Date | 2018-07-05 |