| NPI | 1598186553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGELIO RIOJAS CEO 206-763-5277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: WA 15163100) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: WA 15163100) | |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2025-02-03 |