| NPI | 1649602756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT C FARRELL CEO 425-789-3717 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2016-03-25 |