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
1437490117	Rachel Danielle Barrios	Individual	714 W Main St Grass Valley, CA
1033451364	Michaela Lake	Individual	714 W Main St Grass Valley, CA
1932442381	Zachary Johne Dear	Individual	714 W Main St Grass Valley, CA
1740523091	Bryon Paul Zimmerman	Individual	714 W Main St Grass Valley, CA
1548503899	Chelssee Paradise	Individual	714 W Main St Grass Valley, CA
1033452396	Kendra Blum	Individual	714 W Main St Grass Valley, CA
1205270444	Larissa Smith	Individual	714 W Main St Grass Valley, CA
1841637899	Alexander Butterfield	Individual	714 W Main St Grass Valley, CA
1801236559	Star Penniman	Individual	714 W Main St Grass Valley, CA
1396187860	Diana Shevchenko	Individual	714 W Main St Grass Valley, CA
1093147357	Jessica Foley Sanchez	Individual	714 W Main St Grass Valley, CA
1184056442	Desiree L Sharp	Individual	714 W Main St Grass Valley, CA
1447683362	Andrew A. Stedman	Individual	714 W Main St Grass Valley, CA
1447685268	Heather Gunim	Individual	714 W Main St Grass Valley, CA
1205262557	Rachel Wittler	Individual	714 W Main St Grass Valley, CA
1831525187	Samuel J. Carroll	Individual	714 W Main St Grass Valley, CA
1114353034	Patrick Nefzger	Individual	714 W Main St Grass Valley, CA
1154759033	Nicole Wagner	Individual	714 W Main St Grass Valley, CA
1881022762	Samuel Arthur Hochwald	Individual	714 W Main St Grass Valley, CA
1326476201	Frank Lenz	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