| NPI | 1619272564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA ANN WILSON Executive Director 530-605-9902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA 49910) |
| Additional Taxonomies | 251S00000X (Licence: CA LCS22115) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2013-08-06 |