| NPI | 1245301308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON WATKINS CFO 530-999-9010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-11-12 |
| Last Update Date | 2023-07-28 |