JENNA LYNN PETERSON

GRASS VALLEY, CA
NPI1942556766
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy322D00000X Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date2012-07-30
Last Update Date2012-07-30
Business Address
-- JENNA LYNN PETERSON
714 W MAIN ST
GRASS VALLEY, CA 95945-6410
Phone number: 530-477-9800
Mailing Address
-- JENNA LYNN PETERSON
714 W MAIN ST
GRASS VALLEY, CA 95945-6410
Phone number: 530-477-9800