Organization · Type 2 NPI

Boys Republic

Mental Illness Community Based Residential Treatment Facility · Monrovia, CA

NPI number 1023560836 Active

Practice location

802 Ocean View Ave
Monrovia, CA 91016-2420

Call (909) 628-1217 Map

Mailing address

1907 Boys Republic Dr
Chino Hills, CA 91709-5447

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Other mental illness community based residential treatment facility providers in Monrovia

Boys RepublicMental Illness Community Based Residential Treatment Facility Monrovia, CA NPI 1700336559

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NPI record

NPI: 1023560836
Entity type: Organization (Type 2)
Issued: Oct 27, 2016
Last updated: Dec 29, 2023
Status: Active
Subpart: Yes of Boys Republic

Other names

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Boys Republic - Monrovia Residence · other name

Authorized official

Whitney Paine, LCSW
Clinician/head of Service
(909) 993-2658

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023560836

Boys Republic's National Provider Identifier is 1023560836, issued on Oct 27, 2016. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Monrovia, CA. The record was last updated on Dec 29, 2023.