| 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 |