| NPI | 1114057163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIERK HAITSMA Chief Financial Officer 530-889-2841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 030000189) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2018-01-03 |