NPI | 1710450929 |
---|---|
Doing Business As | WOMEN'S, BABIES', AND CHILDREN'S 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 | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine |
Enumeration Date | 2019-01-10 |
Last Update Date | 2024-10-21 |