Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Marie Sullivan

Individual provider Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1669802732

Nicole Marie Sullivan is an Emotionally Disturbed Childrens' Residential Treatment Facility in Grass Valley, California. Practices as a sole proprietor. Registered with an NPI since 2013.

In the registry since
2013
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Practice location Address checks out

714 W Main St
Grass Valley, CA 95945
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

Record details

NPI number1669802732
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 26, 2013
Last updated in NPPESNovember 26, 2013

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