Charis Youth Center in Grass Valley - Residential Treatment Facility, Emotionally Disturbed Children
Charis Youth Center - NPI 1659593101
Charis Youth Center is a Residential Treatment Facility, Emotionally Disturbed Children in Grass Valley, California. Charis Youth Center practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Charis Youth Center is 1659593101. The last update date is 2020-08-22.
Charis Youth Center's current location address is 714 W Main St, Grass Valley, California. You can contact this provider via phone number 5304779800. The mailing address for Charis Youth Center is 714 W Main St, Grass Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Charis Youth Center |
|---|---|
| Address | 714 W Main St, Grass Valley, California |
| Phone Number | 5304779800 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Powell F Carol |
| Telephone Number | 5304779800 |
NPI Number Detail
| NPI Number | 1659593101 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 714 W Main St |
|---|---|
| City | Grass Valley |
| State | California (CA) |
| Post Code | 959456410 |
| Phone Number | 5304779800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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What is the unique 10-digit identifier code issued to Charis Youth Center by the Centers for Medicare & Medicaid Services?
The Charis Youth Center has been assigned the NPI (National Provider Identifier) 1659593101 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Charis Youth Center's physical address?
The Charis Youth Center is physically located at 714 W Main St, in the city of Grass Valley, CA, with the postal code 959456410.
What is Charis Youth Center's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Charis Youth Center's specialized field of practice is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this area of specialization is 322D00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1659593101 to Charis Youth Center?
The Centers for Medicare & Medicaid Services originally issued the 1659593101 to Charis Youth Center on 2007-05-03.
As of what date was the information regarding Charis Youth Center, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Charis Youth Center, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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