Most Relevant Information
Provider Data
| NPI Number: | 1003040833 |
| Provider Name: | PAUL GRICE |
| Entity Type: | Individual |
| Taxonomy Code: | 322D00000X |
| Specialty: | Residential Treatment Facility, Emotionally Disturbed Children |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/07/2009 |
| Last Updated: | 05/07/2009 |
Provider Practice Location
714 W MAIN ST
GRASS VALLEY
CA
959456410
Practice Location Phone/Fax
| Phone: | 5304779800 |
| Fax: | 5304779803 |
Provider Mailing Location
714 W MAIN ST
GRASS VALLEY
CA
959456410
Provider Mailing Phone/Fax
| Phone: | 5304779800 |
| Fax: | 5304779803 |