Organization
EMQ CHILDREN & FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYN P FARR LCSW (REGIONAL VICE PRESIDENT)
(916) 388-6363
Entity
Organization
Contact information
Practice address
714 W MAIN ST, GRASS VALLEY, CA 95945-6410
(530) 477-9800
Mailing address
251 LLEWELLYN AVE, CAMPBELL, CA 95008-1940
(408) 379-3790
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34AH
—
CA
Enumeration date
12/14/2007
Last updated
12/14/2007
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