NPI | 1710035100 |
---|---|
Other Name | SEA MAR CHC TACOMA BEHAVIORAL HEALTH -19TH STREET |
Other Name | SEA MAR CHC TACOMA - 19TH STREET CHILD AND FAMILY SERVICES |
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 6005372781) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2007-01-08 |
Last Update Date | 2024-03-12 |