| Stanford Sierra Youth & Families | |
|
1020 Mccourtney Rd Ste A Grass Valley CA 95949-7453 | |
| (530) 478-0900 | |
| Not Available |
| Full Name | Stanford Sierra Youth & Families |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1020 Mccourtney Rd Ste A, Grass Valley, California |
| Authorized Official Name and Position | Rebecca Ryness (PERSONNEL SPECIALIST) |
| Authorized Official Contact | 9163440199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stanford Sierra Youth & Families 8912 Volunteer Ln Sacramento CA 95826-3221 Ph: (916) 344-0199 | Stanford Sierra Youth & Families 1020 Mccourtney Rd Ste A Grass Valley CA 95949-7453 Ph: (530) 478-0900 |
| NPI Number | 1538717285 |
|---|---|
| Provider Enumeration Date | 08/27/2019 |
| Last Update Date | 07/02/2024 |
| Certification Date | 07/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538717285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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