Taxonomy Code 322D00000X(322d00000x)
Emotionally Disturbed Childrens' Residential Treatment Facility. Providers: 245

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Emotionally Disturbed Childrens' Residential Treatment Facility Providers

NPI Name Type Address

1356562748

Cristine Davis

Individual

10171 Comerate Rd

Grass Valley, CA

1568683084

Shirley Mae Houston

Individual

714 W Main St

Grass Valley, CA

1104047588

Jeanie Lyn Ibbotson

Individual

11855 Slow Poke Ln

Grass Valley, CA

1235350760

Sherry Ruth Shewcraft

Individual

714 W Main St

Grass Valley, CA

1588877930

Lou Logan

Individual

714 W Main St

Grass Valley, CA

1588877013

Pamela Grimes

Individual

714 W Main St

Grass Valley, CA

1528272044

Travis Day

Individual

714 W Main St

Grass Valley, CA

1194937656

Robert Glanz

Individual

714 W Main St

Grass Valley, CA

1518179076

Stacey Houlihan

Individual

714 W Main St

Grass Valley, CA

1346452455

Katie Mccammon

Individual

714 W Main St

Grass Valley, CA

1659583672

Erin Compton

Individual

714 W Main St

Grass Valley, CA

1447462007

Renee Childs-bell

Individual

714 W Main St

Grass Valley, CA

1720291180

Olivia Schack

Individual

714 W Main St

Grass Valley, CA

1174738629

Elana Sanchez

Individual

714 W Main St

Grass Valley, CA

1003021304

Christopher Salter

Individual

714 W Main St

Grass Valley, CA

1114139136

Michael Bledsoe

Individual

714 W Main St

Grass Valley, CA

1326250432

Arthur Meinung

Individual

714 W Main St

Grass Valley, CA

1316150766

Bryce Benton

Individual

714 W Main St

Grass Valley, CA

1336353564

Christie Sonmez

Individual

714 W Main St

Grass Valley, CA

1073728523

Virginia Marlowe

Individual

714 W Main St

Grass Valley, CA

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Taxonomy Code 322D00000X
Display Name Emotionally Disturbed Childrens' Residential Treatment Facility
Taxonomy Group Residential Treatment Facilities
Taxonomy Classification Residential Treatment Facility, Emotionally Disturbed Children
Definition A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
Effective Date September 30, 2009
Modification Date September 30, 2009
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Other Taxonomy Codes

Pediatric Oncology Clinical Nurse Specialist

364SX0204X • providers: 6

Pediatric Registered Nurse

163WP0200X • providers: 1,840

Intellectual and/or Developmental Disabilities Residential Treatment Facility

320600000X • providers: 4,746

Patient Transport Certified Respiratory Therapist

2278P4000X • providers: 14

Podiatric Clinic/Center

261QP1100X • providers: 877

Medical-Surgical Clinical Nurse Specialist

364SM0705X • providers: 278

Vascular Specialist/Technologist

246XC2903X • providers: 128

Operational (Transportable) Military General Acute Care Hospital

2865X1600X • providers: 26

Adult Health Nurse Practitioner

363LA2200X • providers: 29,664

Clinical Ethicist

174V00000X • providers: 76

Physiological Laboratory

293D00000X • providers: 1,746

Undersea and Hyperbaric Medicine (Emergency Medicine) Physician

207PE0005X • providers: 400

Geriatric Medicine (Internal Medicine) Physician

207RG0300X • providers: 5,730

Neuroscience Clinical Nurse Specialist

364SN0800X • providers: 51

Public Medicine Podiatrist

213EP0504X • providers: 31

Diabetes Educator Registered Nurse

163WD0400X • providers: 1,898

Clinical Social Worker

1041C0700X • providers: 256,496

Blood Banking & Transfusion Medicine Physician

207ZB0001X • providers: 387

Marriage & Family Therapist

106H00000X • providers: 80,744

Deactivated - Podiatrist

213EG0000X • providers: 0