| NPI | 1144618596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS C. STUBBLEFIELD Presiden Treasurer 530-674-2803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 016547) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |