NPI | 1972056372 |
---|---|
Doing Business As | VARIETY CARE RENO |
Entity Type | Organization |
Authorized Contact | TIM REDDOUT Chief Financial Officer 405-632-6688 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2016-08-02 |
Last Update Date | 2020-05-12 |