Organization · Type 2 NPI

Eggleston Youth Centers, Inc.

Adolescent and Children Mental Health Clinic/Center · Irwindale, CA

NPI number 1013455187 Active

Practice location

13001 Ramona Blvd Ste E
Irwindale, CA 91706-3752

Fax (626) 869-0280

Specialties and licenses

Taxonomy	Code	License
Adolescent and Children Mental Health Clinic/Center Primary	261QM0855X	None listed

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

20 other providers at this address

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NPI record

NPI: 1013455187
Entity type: Organization (Type 2)
Issued: Feb 8, 2017
Last updated: Apr 25, 2018
Status: Active
Subpart: Yes of Eggleston Youth Centers, Inc.

Other names

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Eggleston BHS - Irwindale · other name

Authorized official

Cassandra Elaine Gibson-Judkins, LCSW
Assistant Executive Director
(626) 480-8107

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About NPI 1013455187

Eggleston Youth Centers, Inc.'s National Provider Identifier is 1013455187, issued on Feb 8, 2017. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Irwindale, CA. The record was last updated on Apr 25, 2018.