NPI | 1578000790 |
---|---|
Other Name | EGGLESTON BHS - UPLAND |
Entity Type | Organization |
Authorized Contact | CASSANDRA ELAINE GIBSON-JUDKINS Assistant Executive Director 626-480-8107 |
Organization Subpart ? | Yes |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 366426270) |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2017-01-25 |
Last Update Date | 2018-02-01 |