| NPI | 1598764920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA GONZALEZ CEO 509-494-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA 602254033) |
| 251B00000X Case Management | |
| 251S00000X | |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2020-07-29 |