NPI | 1962930859 |
---|---|
Other Name | BOYS REPUBLIC - MONROVIA |
Entity Type | Organization |
Authorized Contact | ELLEN STRICKLAND Residence Clinical Supervisor 909-287-6433 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2017-05-23 |
Last Update Date | 2022-11-30 |