| 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 |