| NPI | 1811060700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULETTE POWELL Facility COO Rdinator 530-671-3671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 230000220) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |