| NPI | 1972040194 |
|---|---|
| Other Name | EGGLESTON BHS - WEST COVINA |
| 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 197806374) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2018-04-25 |