| NPI | 1679649487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER B DAVIS CEO 775-888-6610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2024-01-03 |