NPI | 1922090588 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIA HUNZEKER Executive Director 530-534-5394 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QC1500X Clinic/Center Community Health (Licence: CA 230000003) |
Enumeration Date | 2005-08-19 |
Last Update Date | 2018-08-03 |