NPI | 1922260900 |
---|---|
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 | 261Q00000X Clinic/Center (Licence: WA 6005372781) |
Enumeration Date | 2008-06-30 |
Last Update Date | 2010-03-30 |