| NPI | 1275539793 |
|---|---|
| Doing Business As | SUSANVILLE INDIAN RANCHERIA |
| Entity Type | Organization |
| Authorized Contact | DEBRA SOKOL Clinic Manager 530-257-2542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: CA RN300870) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2009-12-31 |