| NPI | 1972711018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA HAUFF Primary Care Administrator 509-454-4143 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2024-06-26 |