DANIEL A POLSTON - NPI 1609137314 - Residential Treatment Facility, Emotionally Disturbed Children in Grass Valley, CA

Q: What is Daniel Polston's NPI number?

The NPI number for Daniel Polston is 1609137314. It was assigned to this individual provider in the NPPES registry on May 30, 2012.

Q: What is Daniel Polston's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Polston was last updated on May 30, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Daniel A Polston NPPES

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

DANIEL A POLSTON (NPI 1609137314) is an individual residential treatment facility, emotionally disturbed children provider in Grass Valley, California and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1609137314

Entity TypeIndividualMale

Primary Taxonomy322D00000X

Provider Legal NameDANIEL A POLSTON

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

Phone(530) 477-9800

Fax(530) 477-9803

Sole ProprietorYes

Enumeration DateMay 30, 2012

✔ NPI 1609137314 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

Open in Google Maps ↗