| NPI | 1093926826 |
|---|---|
| Doing Business As | BOYS & GIRLS CLUB |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J. DAY Information Technology Manager 909-388-0570 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA zzz74743z) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2009-09-24 |