| NPI | 1669004123 |
|---|---|
| Doing Business As | ENTERPRISE FAMILY HEALTH & DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JEFFERY BRANDON THORNOCK CEO 530-246-5074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 152W00000X Optometrist | |
| 174400000X Specialist | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207W00000X Ophthalmology | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2024-10-16 |