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Organization
SIERRA QUEST BOYS ACADEMY
Active
Organization
SIERRA QUEST BOYS ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT K SEYMOUR (EXECUTIVE DIRECTOR)
(209) 966-7095
Entity
Organization
Contact information
Practice address
6986 SCOTT RD, MARIPOSA, CA 95338-9639
(209) 966-7095
Mailing address
6986 SCOTT RD, MARIPOSA, CA 95338-9639
(209) 966-7095
(209) 966-7095
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
2084P0800X
Psychiatry Physician
—
—
253J00000X
Foster Care Agency
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
12/09/2020
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