NPI | 1780086686 |
---|---|
Entity Type | Organization |
Authorized Contact | ROGELIO RIOJAS CEO 206-763-5277 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2014-09-23 |
Last Update Date | 2025-01-31 |