| NPI | 1881053353 |
|---|---|
| Other Name | SEA MAR CHC KELSO BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | ROGELIO RIOJAS CEO 206-763-5277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WA 600537278) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA 600537278) | |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2024-03-12 |