| NPI | 1881062362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGELIO RIOJAS CEO 206-763-5277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: WA 60540273) | |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2025-01-31 |