| NPI | 1194340794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIA LOUISE HAYWORTH Billing Supervisor 530-528-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |