Organization
MOUNTAIN VALLEY CHILD AND FAMILY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MILHOUS (CFO)
(530) 265-9057
Entity
Organization
Contact information
Practice address
6171 BRADSHAW RD, SACRAMENTO, CA 95829-9334
(916) 362-8292
Mailing address
24077 HWY 49, NEVADA CITY, CA 95959
(916) 368-2223
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
290300461
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00386
MEDICAL PROVIDER
CA
Enumeration date
12/05/2006
Last updated
02/21/2017
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