Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN GENEVIEVE GRAY
Active Sole ProprietorSUSAN GENEVIEVE GRAY is a Emotionally Disturbed Children Residential Treatment healthcare provider located in COSTA MESA, California. NPI 1083306948 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · COSTA MESA, CA
Registration Details
- NPI Number
- 1083306948
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 22, 2023 (3.2764841915015 yrs)
- Last Updated
- May 22, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
3186 AIRWAY AVECOSTA MESA, CA, 926264650Browse CA providers · Browse ZIP 92626
- Phone
- 4699389987
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.