Mr. Matthew B Reveis
Mr. Matthew B Reveis is an Emotionally Disturbed Childrens' Residential Treatment Facility in Grass Valley, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2007
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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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X (CA) |
|---|
Record details
| NPI number | 1710161229 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 19, 2007 |
| Last updated in NPPES | December 19, 2007 |
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714 W Main St, Grass Valley, CA 95945-6410 · (530) 477-9800
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714 W Main St, Grass Valley, CA 95945-6410 · (530) 477-9800