person
Alexander D Coffman
Emotionally Disturbed Childrens' Residential Treatment Facility in Grass Valley, California
NPI 1386900496

Alexander D Coffman is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Grass Valley, CA. Alexander D Coffman practices in Grass Valley, CA. The NPI Number for Alexander D Coffman is 1386900496 and holds a License No. (California).

The current practice location address for Alexander D Coffman is 714 W Main St, Grass Valley, CA and can be reached out via phone at 530-477-9800 and via fax at 530-477-9803.

Location: 714 W Main St, Grass Valley, CA, 95945-6410
person
Provider Profile Details
NPI Number
1386900496
Provider Name
Alexander D Coffman
Credential
Provider Entity Type
Individual
Gender
Male
Address
714 W Main St, Grass Valley, CA, 95945-6410
Phone Number
530-477-9800
Fax Number
530-477-9803
Provider Enumeration Date
04/03/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
714 W Main St
City
State
Zip
95945-6410
Phone Number
530-477-9800
Fax Number
530-477-9803
person
Provider Business Mailing Address Details
Address
714 W Main St
City
State
Zip
95945-6410
Phone Number
530-477-9800
Fax Number
530-477-9803
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
()
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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