| NPI | 1235895871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA L DE VAY CFO 775-997-7579 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2022-04-20 |