SAMUEL J. CARROLL

GRASS VALLEY, CA
NPI1831525187
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy322D00000X Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date2013-09-18
Last Update Date2013-09-18
Business Address
-- SAMUEL J. CARROLL
714 W MAIN ST
GRASS VALLEY, CA 95945-6410
Phone number: 530-477-9800
Mailing Address
-- SAMUEL J. CARROLL
714 W MAIN ST
GRASS VALLEY, CA 95945-6410
Phone number: 530-477-9800