| NPI | 1689046674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN CARLOS OLIVARES Chief Executive Director 509-865-6175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2016-07-27 |