NPI | 1063891182 |
---|---|
Doing Business As | HENDERSON FAMILY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | WALTER B DAVIS Chief Executive Officer 775-888-6610 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NV H80-015005) |
Enumeration Date | 2015-05-21 |
Last Update Date | 2016-06-20 |