TAMBRA LIVELY

GRASS VALLEY, CA
NPI1215274642
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy322D00000X Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date2013-01-04
Last Update Date2013-01-04
Business Address
TAMBRA LIVELY
714 W MAIN ST
GRASS VALLEY, CA 95945-6410
Phone number: 530-477-9800
Mailing Address
TAMBRA LIVELY
714 W MAIN ST
GRASS VALLEY, CA 95945-6410
Phone number: 530-477-9800