| NPI | Name | Type | Address |
|---|---|---|---|
|
Keegan Jones |
Individual |
714 W. Main St Grass Valley, CA |
|
|
Michelene Arielle-nicole Stringer |
Individual |
714 West Main Street Grass Valley, CA |
|
|
Nicole Marie Sullivan |
Individual |
714 W Main Street Grass Valley, CA |
|
|
Jarrett M Weiss |
Individual |
714 W. Main Street Grass Valley, CA |
|
|
Lacie Renae Belding |
Individual |
714 West Main Street Grass Valley, CA |
|
|
Tamara Renee Pierson |
Individual |
10171 Comerate Rd Grass Valley, CA |
|
|
Steven Thomas Bell |
Individual |
714 W. Main St Grass Valley, CA |
|
|
MRS. Kerri Ann Pratschner |
Individual |
714 W. Main St. Grass Valley, CA |
|
|
MR. Christopher Jordan Ingram |
Individual |
714 W. Main St Grass Valley, CA |
|
|
Joseph R Beauchamp |
Individual |
714 W. Main St Grass Valley, CA |
|
|
MS. Rachael Mae Shelton |
Individual |
714 W. Main St Grass Valley, CA |
|
|
Nicole Dalene Dawson |
Individual |
714 W. Main St Grass Valley, CA |
|
|
Kalolaine T. Vavne Lavylo |
Individual |
714 W. Main St Grass Valley, CA |
|
|
Corinne Elizabeth Ove |
Individual |
714 W. Main St Grass Valley, CA |
|
|
Mia Davis |
Individual |
714 W. Main St Grass Valley, CA |
|
|
Laura Ann Deichen |
Individual |
714 W. Main St Grass Valley, CA |
|
|
Altijana Sinanovic |
Individual |
714 W. Main St. Grass Valley, CA |
|
|
MISS Kristi Louise Hoopes |
Individual |
714 West Main Street Grass Valley, CA |
|
|
MR. Thomas Joseph Leonard |
Individual |
714 West Main Street Grass Valley, CA |
|
|
MR. Jeremy Charles Mccracken |
Individual |
714 West Main Street Grass Valley, CA |
Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...
| 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 |