| NPI | 1669004123 |
|---|---|
| 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 |