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General NPI Number Information
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NPI Number | 1689732406
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Entity Type | Organization
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Legal Business Name | MOUNTAIN VALLEY CHILD AND FAMILY SERVICES, INC.
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 11/01/2017
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Provider Practice Location Address
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Address Line | 9200 SWEET ACACIA WAY
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City | SACRAMENTO
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State | CA
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Zip | 95829-1130
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Country | US
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Telephone | 916-362-8292
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Fax |
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Provider Business Mailing Address
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Address Line | 24077 HWY 49
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City | NEVADA CITY
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State | CA
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Zip | 95959
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Country | US
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Telephone | 530-265-9057
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | RICHARD MILHOUS
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Credential |
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Telephone | 530-265-9057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number | 290300461
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License Number State | CA
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