| NPI | 1548644594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER WHEELER Cco 775-329-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NV NV19921028701) |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2024-01-25 |