NPI | 1811630767 |
---|---|
Entity Type | Organization |
Authorized Contact | JOEL EMERY CFO 360-377-3776 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 101Y00000X Counselor |
103T00000X Psychologist | |
104100000X Social Worker | |
106H00000X Marriage & Family Therapist | |
133N00000X Nutritionist | |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
207V00000X Obstetrics & Gynecology | |
208000000X Pediatrics | |
251B00000X Case Management | |
251E00000X Home Health | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2022-04-19 |
Last Update Date | 2022-06-29 |