| NPI | 1700189057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BARTOLO Deputy Director 206-762-3224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WA 600 537 278 1) |
| Additional Taxonomies | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: WA 600 537 278 1) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |