NPI | 1023560836 |
---|---|
Other Name | BOYS REPUBLIC - MONROVIA RESIDENCE |
Entity Type | Organization |
Authorized Contact | WHITNEY PAINE Clinician/Head Of Service 909-993-2658 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2016-10-27 |
Last Update Date | 2023-12-29 |