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

1497907075

Rick Edward Beberg

Individual

714 West St.

Grass Valley, CA

1578717310

Andrew Hong

Individual

714 W Main St

Grass Valley, CA

1194979930

Jacquelynn Howard

Individual

714 W Main St

Grass Valley, CA

1285873257

Jennifer Marie Rodriguez

Individual

714 W Main St

Grass Valley, CA

1891938312

Guy Greever Jr.

Individual

714 W Main St

Grass Valley, CA

1003040833

Paul Grice

Individual

714 W Main St

Grass Valley, CA

1902030737

David W Reed

Individual

714 W Main St

Grass Valley, CA

1710111547

Ronald Gene Corum Ll

Individual

714 W Main St

Grass Valley, CA

1689802290

David Schaff

Individual

714 W Main St

Grass Valley, CA

1295963809

Shannon Wooderson

Individual

714 W Main St

Grass Valley, CA

1154559508

Stephanie Ann Mccaw

Individual

714 W Main St

Grass Valley, CA

1588892806

Amy Danielle Johnson

Individual

714 W Main St

Grass Valley, CA

1942432752

Vicki S Berry

Individual

714 W Main St

Grass Valley, CA

1003048703

William J Simmons

Individual

714 W Main St

Grass Valley, CA

1215169925

Ian P Isbell

Individual

714 W Main St

Grass Valley, CA

1932331642

Dawna M Fagan

Individual

714 W Main St

Grass Valley, CA

1659602217

Sarah L Aguilar

Individual

714 W Main St

Grass Valley, CA

1760704969

Patricia R. Grebe

Individual

714 W Main St

Grass Valley, CA

1003138207

Cynthia L Pettijohn

Individual

714 W Main St

Grass Valley, CA

1336461904

Hayden Joseph Earley

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

Ophthalmologic Surgery Clinic/Center

261QS0132X • providers: 654

Clinical & Laboratory Dermatological Immunology Physician

207NI0002X • providers: 88

Surgery of the Hand (Plastic Surgery) Physician

2082S0105X • providers: 435

Orthopaedic Hand Surgery Physician

207XS0106X • providers: 2,910

Epilepsy Hospital Unit

273100000X • providers: 7

Recovery Care Clinic/Center

261QR0800X • providers: 190

Point of Service

305S00000X • providers: 2,502

Biostatiscian

246ZB0600X • providers: 32

Pediatric Nutrition Registered Dietitian

133VN1004X • providers: 1,211

Case Management Agency

251B00000X • providers: 15,591

Adult Reconstructive Orthopaedic Surgery Physician

207XS0114X • providers: 1,303

Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician

207VH0002X • providers: 164

Methadone Clinic

261QM2800X • providers: 1,382

Pain Medicine Physician

208VP0000X • providers: 2,686

Ph.D. Medical Genetics Physician

207SG0205X • providers: 11

Pediatric Nurse Practitioner

363LP0200X • providers: 20,287

Naturopath

175F00000X • providers: 7,297

Sports Medicine (Physical Medicine & Rehabilitation) Physician

2081S0010X • providers: 1,334

Contractor

171W00000X • providers: 8,295

Immunology Pathology Specialist/Technologist

246QI0000X • providers: 14