Most Relevant Information
Provider Data
| NPI Number: | 1003230996 |
| Provider Name: | CORINNE ELIZABETH OVE |
| Entity Type: | Individual |
| Taxonomy Code: | 322D00000X |
| Specialty: | Residential Treatment Facility, Emotionally Disturbed Children |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/12/2014 |
| Last Updated: | 02/12/2014 |
Provider Practice Location
714 W. MAIN ST
GRASS VALLEY
CA
95945
Practice Location Phone/Fax
| Phone: | 5304779800 |
| Fax: | 5304779863 |
Provider Mailing Location
714 W. MAIN ST
GRASS VALLEY
CA
95945
Provider Mailing Phone/Fax
| Phone: | 5304779800 |
| Fax: | 5304779863 |