# CHARIS YOUTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659593101
- **Authorized official:** MS. CAROL F POWELL (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (530) 477-9800

## Contact information

- **Practice address:** 12875 RATTLESNAKE RD, GRASS VALLEY, CA 95945
- **Practice address phone:** (530) 272-4782
- **Mailing address:** 714 W MAIN ST, GRASS VALLEY, CA 95945-6410
- **Mailing address phone:** (530) 477-9800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | CA | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 08/22/2020