| NPI | 1619549383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG SCOTT STONE CEO 530-741-6245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2021-07-13 |