| NPI | 1902772437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE BRAZIER Administrative Services Director 360-475-6715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2025-10-13 |
| Last Update Date | 2025-10-13 |