| NPI | 1659792810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN L BEECHER CFO 775-786-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2025-06-04 |