| NPI | 1316192826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA S LOCKWOOD Facility Administrator 530-344-1687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2010-02-23 |