| NPI | 1992834196 |
|---|---|
| Doing Business As | MSS PROGRAM WALLA WALLA |
| Entity Type | Organization |
| Authorized Contact | JUAN CARLOS OLIVARES Executive Director 509-865-6175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |