NPI | 1942480173 |
---|---|
Other Name | SEA MAR CHC ABERDEEN SUD |
Entity Type | Organization |
Authorized Contact | ROGELIO RIOJAS CEO 206-763-5277 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WA 600537278) |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WA 6 H80CS00445-05-03) |
Enumeration Date | 2007-11-05 |
Last Update Date | 2024-03-12 |