| NPI | 1942494133 |
|---|---|
| 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 6 H80CS00 455-05-03) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA 6 H80CS00 455-05-03) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-08-30 |