Eggleston Youth Center

NPI 1063697563 - Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X

NPI Details
NPI 1063697563
Enumeration Date 01/02/2008
Last Updated 01/02/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name CASSANDRA CASSANDRA
Position CLINICAL DIRECTOR
Phone (626) 480-8107
Fax (626) 869-0280
Practice Location
13001 RAMONA BLVD
STE. E
IRWINDALE CA, 91706-3752, US
Phone (626) 480-8107
Fax (626) 869-0280
Business Location
13001 RAMONA BLVD
STE. E
IRWINDALE CA, 91706-3752, US
Phone (626) 480-8107
Fax (626) 869-0280
Toxanomy
Taxonomy Code 322D00000X
License State
License Number
Remove 1063697563 NPI Number
 

According to our database, Eggleston Youth Center NPI is 1063697563, taxonomy code is 322D00000X Eggleston Youth Center physically located at 13001 Ramona Blvd, Irwindale CA, 91706-3752. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1063697563 NPI number is provided on an as is basis without warranty of any kind. 1063697563 is maintained by the National Plan & Provider Enumeration System. The contents of Eggleston Youth Center are for informational purposes only.