| NPI | 1588192264 |
|---|---|
| Doing Business As | SEA-MAR CHC YELM SUD |
| Entity Type | Organization |
| Authorized Contact | KRISTINA HOESCHEN Administration Director 206-763-5277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2017-05-25 |