| NPI | 1730488644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORDELIA ABEL-JOHNSON Community Health Supervisor 775-329-5162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NV LPN07194) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-03-17 |