| Children's Mental Health | |
|
11148 Butler Rd Grass Valley CA 95945-6915 | |
| (530) 798-8215 | |
| (530) 271-5943 |
| Full Name | Children's Mental Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11148 Butler Rd, Grass Valley, California |
| Authorized Official Name and Position | Susan L Clark (THERAPIST) |
| Authorized Official Contact | 5307988215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Mental Health 11148 Butler Rd Grass Valley Grass Valley CA 95945-6915 Ph: (530) 798-8215 | Children's Mental Health 11148 Butler Rd Grass Valley CA 95945-6915 Ph: (530) 798-8215 |
| NPI Number | 1871702803 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 08/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871702803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MFC 18395 (California) | Primary |
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