NPI | 1962754713 |
---|---|
Doing Business As | NEIGHBORCARE HEALTH AT LAKE CITY |
Entity Type | Organization |
Authorized Contact | MICHAEL ERIKSON Chief Executive Officer 206-461-6935 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2012-10-03 |
Last Update Date | 2018-01-12 |