Organization
CHARIS YOUTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL POWELL (EXECUTIVE DIRECTOR)
(530) 477-9800
Entity
Organization
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
297001165
CA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
297001166
CA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
297002555
CA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
297003442
CA
Other
Enumeration date
11/01/2006
Last updated
08/12/2015
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