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Mr. Jeremy Charles Mccracken
Emotionally Disturbed Childrens' Residential Treatment Facility in Grass Valley, California
NPI 1538586821

Jeremy Charles Mccracken is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Grass Valley, CA. Jeremy Charles Mccracken practices in Grass Valley, CA. The NPI Number for Jeremy Charles Mccracken is 1538586821 and holds a License No. (California).

The current practice location address for Jeremy Charles Mccracken is 714 West Main Street, Grass Valley, CA and can be reached out via phone at 530-477-9800.

Location: 714 West Main Street, Grass Valley, CA, 95945
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538586821
Provider Name
Jeremy Charles Mccracken
Credential
Provider Entity Type
Individual
Gender
Male
Address
714 West Main Street, Grass Valley, CA, 95945
Phone Number
530-477-9800
Fax Number
Provider Enumeration Date
03/25/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
714 West Main Street
City
Grass Valley
State
California
Zip
95945
Phone Number
530-477-9800
Fax Number
person
Provider Business Mailing Address Details
Address
714 West Main Street
City
Grass Valley
State
California
Zip
95945
Phone Number
530-477-9800
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
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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