| NPI | 1811204555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN H FLORES President, Chief Executive Officer 530-751-3739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2020-07-21 |