Individual provider · Type 1 NPI

Cristine Davis

Emotionally Disturbed Childrens' Residential Treatment Facility · Grass Valley, CA

NPI number 1356562748 Active

Practice location

10171 Comerate Rd
Grass Valley, CA 95949-9058

Call (530) 268-8310 Map

Mailing address

714 W Main St
Grass Valley, CA 95945-6410

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

Emotionally Disturbed Childrens' Residential Treatment Facility: 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.

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About NPI 1356562748

Cristine Davis's National Provider Identifier is 1356562748, issued on May 1, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Grass Valley, CA. The record was last updated on Jul 8, 2007.