| NPI | 1326172404 |
|---|---|
| Other Name | SAN GABRIEL CHILDREN'S CENTER OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | PORFIRIO RINCON President/CEO 626-859-2089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA 7563A) |
| Additional Taxonomies | 251S00000X (Licence: CA 7563D) |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 197804972) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 197804961) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2024-05-01 |