Savannah Gonzales
Residential Treatment Facility, Emotionally Disturbed Children in Grass Valley, CA. Individual provider (NPI-1).
Details
- NPI
- 1609040203
- Entity type
- Individual (NPI-1)
- Name
- Savannah Gonzales
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 15, 2008
- Last updated
- Apr 15, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | – | – | Yes |
Practice location
714 W Main StGrass Valley, CA 95945-6410
Phone 530-477-9800 · Fax 530-477-9803
Mailing address
714 W Main StGrass Valley, CA 95945-6410
Phone 530-477-9800 · Fax 530-477-9803
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 234 Emotionally Disturbed Childrens' Residential Treatment Facility providers in Grass Valley · All 2,088 providers in Grass Valley
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