NICOLE MARIE SULLIVAN

GRASS VALLEY, CA
NPI1669802732
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy322D00000X Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date2013-11-26
Last Update Date2013-11-26
Business Address
-- NICOLE MARIE SULLIVAN
714 W MAIN STREET
GRASS VALLEY, CA 95945
Phone number: 530-477-9800
Mailing Address
-- NICOLE MARIE SULLIVAN
714 W. MAIN ST.
GRASS VALLEY, CA 95945
Phone number: 530-477-9800