| NPI | 1063838076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA JUDITH CHARLES-HEATHERS Assistant Director Of Health Servic 530-621-6270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2014-03-14 |