GARY GREEN is an intermediate care facility mentally retarded in Chico, CA. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. GARY GREEN NPI is 1316911886. The provider is registered as an organization entity type.
The provider Is Doing Business As Nova Developmental Centers (tom Polk House).
The provider's business location address is:
65 TOM POLK CIRCLE
CHICO, CA
ZIP 95973
Phone: (530) 226-0375
Fax: (530) 365-1609
The provider's authorized official is Gary Green .
The authorized official title is Licensee/owner and has the following contact phone number (530) 226-0375.
The enumeration date for this NPI number is 2/14/2006 and was last updated on 7/31/2008.