| NPI | 1669152120 |
|---|---|
| Doing Business As | PEACH TREE MOBILE UNIT |
| Entity Type | Organization |
| Authorized Contact | GREGORY S STONE CEO 530-749-3242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2023-07-20 |