| NPI | 1770352544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI L CHISSIE Patient Account Manager 530-751-3778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2023-12-21 |
| Last Update Date | 2024-01-31 |