SCJ provided civil engineering and landscape architecture for this state-of-the-art center that provides comprehensive health and wellness services to the Nisqually Indian Tribe and the surrounding community. The new facility replaced the older, undersized medical and dental clinic that did not provide the services necessary to respond to the diverse and serious health needs of the community. The project includes space for ambulatory outpatient health care services, elder health services, specialty clinics, traditional health and healing services, pharmacy services, community health outreach, and substance abuse and mental health services. The nearly 50,000-square-foot facility integrates Nisqually Tribal Cultural elements in both the interior and exterior environments. Landscape architectural design included a dry creek bed with boulders and natural wood elements,
a ceremonial spiral sunken fire pit, and community vegetable gardens. Interior landscaping was also provided to utilize the principles of Biophilic Design–connecting nature with man made spaces to enhance healing.