Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DANIEL J GREEN

Active Sole Proprietor

Psychiatric Residential Treatment Facility · GRASS VALLEY, CA

Registration Details

NPI Number: 1902084726
Provider Type: Individual
Gender: Male
NPI Issued: Feb 4, 2008 (18.210808180015 yrs)
Last Updated: Feb 4, 2008
Sole Proprietor: Yes

Practice Information

Address: 714 W MAIN ST

GRASS VALLEY, CA, 959456410
Browse CA providers · Browse ZIP 95945
Phone: 5304779800
Fax: 5304779803
Primary Specialty: Psychiatric Residential Treatment Facility
323P00000X

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.