| NPI | 1114643871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG SCOTT STONE CEO 530-741-6245 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2022-11-08 |