| NPI | 1548301633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN CROSKREY Chief Financial Officer 209-848-4104 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health (Licence: CA 030000069) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-12-18 |