| NPI | 1952009151 |
|---|---|
| Doing Business As | WILLOW STREET HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | CARRIE BLACK Provider Relations Manager 775-888-6610 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-02-17 |
| Last Update Date | 2023-02-17 |