NPI | 1164548236 |
---|---|
Other Name | LEROY HAYNES CENTER |
Entity Type | Organization |
Authorized Contact | DANIEL S. MAYDECK Chief Executive Officer 909-593-2581 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 191501972) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2007-03-21 |
Last Update Date | 2021-04-12 |