| NPI | 1841465317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGELIO RIOJAS Executive Director 206-762-5377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WA 600 537 278 1) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WA 6005372781) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2010-03-30 |