| NPI | 1689491722 |
|---|---|
| Other Name | SEA MAR CHC - KELSO SUD |
| Entity Type | Organization |
| Authorized Contact | MARY BARTOLO Executive Vice President 206-763-5277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-09-20 |
| Last Update Date | 2024-09-20 |