NPI 1023433463

Mia Davis

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

Practice location

Address: 714 W. Main St, Grass Valley, CA 95945
Phone: (530) 477-9800
Fax: (530) 477-9803

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

Other Residential Treatment Facility, Emotionally Disturbed Children providers in California →

Registry record

NPI: 1023433463
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Feb 2014
Record last updated: 21 Feb 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.