MATTHEW B REVEIS

GRASS VALLEY, CA
NPI1710161229
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy322D00000X Residential Treatment Facility, Emotionally Disturbed Children
(Licence: CA  922935507)
Enumeration Date2007-12-19
Last Update Date2007-12-19
Business Address
Mr. MATTHEW B REVEIS
714 W MAIN ST
GRASS VALLEY, CA 95945-6410
Phone number: 530-477-9800
Mailing Address
Mr. MATTHEW B REVEIS
714 W MAIN ST
GRASS VALLEY, CA 95945-6410
Phone number: 530-477-9800