| NPI | 1932346764 |
|---|---|
| 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 600 537 278 1) |
| Additional Taxonomies | 132700000X Dietary Manager (Licence: WA 600-537-278-1) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2010-03-30 |