| NPI | 1851730691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGELIO RIOJAS Executive Director 206-788-3226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2013-06-14 |