Individual
PAUL GRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
714 W MAIN ST, GRASS VALLEY, CA 95945-6410
(530) 477-9800
(530) 477-9803
Mailing address
714 W MAIN ST, GRASS VALLEY, CA 95945-6410
(530) 477-9800
(530) 477-9803
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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