| NPI | 1144983990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA BELANGER Clinical Director 775-460-4626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2023-05-24 |