| NPI | 1750901625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON CHAMBERLAIN CEO 775-786-4673 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2021-02-09 |