| NPI | 1659560555 |
|---|---|
| Other Name | SEA MAR CHC PUYALLUP SUD |
| 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 6 H80CS00445-05-03) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WA 6 H80CS00445-05-03) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2024-03-12 |