| NPI | 1568678258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA A CHILSON CFO 509-765-0674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |