| NPI | 1164886040 |
|---|---|
| Other Name | PEACH TREE NORTH SACRAMENTO |
| Entity Type | Organization |
| Authorized Contact | GREG S STONE CEO 530-741-6245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 030000463) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2022-05-23 |