NPI | 1871629501 |
---|---|
Doing Business As | CASA DE ESPERANZA |
Entity Type | Organization |
Authorized Contact | JUAN CARLOS OLIVARES Executive Director 509-865-6175 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2020-08-22 |