| NPI | 1619915006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIEVES GOMEZ CEO 509-488-5256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2022-05-06 |