| NPI | 1790762755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID FLENTGE CEO 253-597-4550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2019-06-07 |