CHRIS R CARLSON
NPI 1053681783
Residential Treatment Facility, Emotionally Disturbed Children in Grass Valley, CA

Active since January 11, 2012
714 W MAIN ST, GRASS VALLEY, CA 95945(530) 477-9800(530) 477-9803 Get Directions Write a Review

NPPES record last updated: January 11, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Chris R Carlson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRIS R CARLSON (NPI 1053681783) is an individual residential treatment facility, emotionally disturbed children provider in Grass Valley, California and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1053681783
Entity TypeIndividualMale
Primary Taxonomy322D00000X
Provider Legal NameCHRIS R CARLSON
Location Address714 W MAIN STGrass Valley, CA 95945-6410
Mailing Address714 W Main StGrass Valley, CA 95945-6410 · (530) 477-9800 · Fax (530) 477-9803
Fax(530) 477-9803
Sole ProprietorYes
Enumeration DateJanuary 11, 2012
NPI 1053681783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
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.

714 W MAIN ST, Grass Valley, CA 95945

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
714 W MAIN ST
GRASS VALLEY, CA 95945
Residential Treatment Facility, Emotionally Disturbed Children
714 W MAIN ST
GRASS VALLEY, CA 95945
Residential Treatment Facility, Emotionally Disturbed Children
714 W MAIN ST
GRASS VALLEY, CA 95945
Residential Treatment Facility, Emotionally Disturbed Children
714 W MAIN ST
GRASS VALLEY, CA 95945
Residential Treatment Facility, Emotionally Disturbed Children
714 W MAIN ST
GRASS VALLEY, CA 95945
Residential Treatment Facility, Emotionally Disturbed Children
714 W MAIN ST
GRASS VALLEY, CA 95945
Residential Treatment Facility, Emotionally Disturbed Children
714 W MAIN ST
GRASS VALLEY, CA 95945
Residential Treatment Facility, Emotionally Disturbed Children
714 W MAIN ST
GRASS VALLEY, CA 95945

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053681783, enumerated as an "individual" on January 11, 2012.

The provider is located at 714 W MAIN ST GRASS VALLEY, CA 95945 and the phone number is (530) 477-9800.

Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.