Daniel A Polston
Daniel A Polston is an Emotionally Disturbed Childrens' Residential Treatment Facility in Grass Valley, California. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
714 W Main StGrass Valley, CA 95945-6410
Phone: (530) 477-9800
Fax: (530) 477-9803
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Specialties & licences
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X |
|---|
Record details
| NPI number | 1609137314 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 30, 2012 |
| Last updated in NPPES | May 30, 2012 |
| Mailing address | 714 W Main St, Grass Valley, CA 95945-6410 |
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