Scott Kerksieck is a residential treatment facility emotionally disturbed children in Grass Valley, CA. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. Scott Kerksieck NPI is 1043513138. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
714 W MAIN ST
GRASS VALLEY, CA
ZIP 95945-410
Phone: (530) 477-9800
Fax: (530) 477-9803
The enumeration date for this NPI number is 12/10/2010 and was last updated on 12/10/2010.