MARY BENHAM

Residential Treatment Facility, Emotionally Disturbed Children

Active Individual
NPI: 1124281621

Practice Address

714 W MAIN ST
Grass Valley, CA 95945

Phone: (530) 477-9800

Specialties

Specialty Code Primary License
Residential Treatment Facility, Emotionally Disturbed Children 322D00000X Yes -

Frequently Asked Questions

NPI 1124281621 is the National Provider Identifier for MARY BENHAM, a Residential Treatment Facility, Emotionally Disturbed Children provider located in Grass Valley, CA. This NPI was enumerated on July 3, 2008.
MARY BENHAM practices at 714 W MAIN ST, Grass Valley, CA 95945.

Quick Facts

NPI
1124281621
Type
Individual
Enumerated
Jul 3, 2008
Last Updated
Jul 3, 2008

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