NPI | 1912169020 |
---|---|
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) (Licence: WA 6005372781) |
Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: WA 6005372781) |
Enumeration Date | 2008-06-30 |
Last Update Date | 2010-03-30 |