Grass Valley. Emotionally Disturbed Childrens' Residential Treatment Facility. Taxonomy Code 322D00000X(322d00000x)

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Emotionally Disturbed Childrens' Residential Treatment Facility Providers

NPI	Name	Type	Address
1205187820	Matthew M. Eck	Individual	714 W Main St Grass Valley, CA
1295086817	Shawnda Burton	Individual	714 W Main St Grass Valley, CA
1629320429	Lennon Dejaneiro	Individual	714 W Main St Grass Valley, CA
1073865879	Kari Larsen	Individual	714 W Main St Grass Valley, CA
1952654063	Sheridan Rae Parkhouse	Individual	714 W Main St Grass Valley, CA
1780928200	Gerard C. Tully	Individual	714 W Main St Grass Valley, CA
1134464977	Dean Devogelaere	Individual	714 W Main St Grass Valley, CA
1396080131	Martin Farmer	Individual	714 W Main St Grass Valley, CA
1215274634	Christen Rachelle Counts	Individual	714 W Main St Grass Valley, CA
1215274642	Tambra Lively	Individual	714 W Main St Grass Valley, CA
1164760286	Patrick Gregory	Individual	714 W Main St Grass Valley, CA
1841539285	Elin Honea	Individual	714 W Main St Grass Valley, CA
1659610095	Dana L Campbell	Individual	714 W Main St Grass Valley, CA
1467791806	Daniel J Carter	Individual	714 W Main St Grass Valley, CA
1831439249	Jennifer Lyn Johnson	Individual	714 W Main St Grass Valley, CA
1558601963	Amanda King	Individual	714 W Main St Grass Valley, CA
1366782773	Galen Humpal	Individual	714 W Main St Grass Valley, CA
1083954432	Kristin Lloyd	Individual	714 W Main St Grass Valley, CA
1750621710	Tara Stafford	Individual	714 W Main St Grass Valley, CA
1568702520	Jeffrey Alan Divine	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