Organization · Type 2 NPI

Haynes Family of Programs

Mental Illness Community Based Residential Treatment Facility · La Verne, CA

NPI number 1164548236 Active

Practice location

1350 3rd St
La Verne, CA 91750-5201

Fax (909) 596-3567

Other practice locations

  • 1025 Sentinel Dr Ste 200 & 206, La Verne, CA 91750-3282 · (909) 833-2986

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XNone listed
Mental Illness Community Based Residential Treatment Facility Primary 320800000X191501972 (CA)

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.

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About NPI 1164548236

Haynes Family of Programs's National Provider Identifier is 1164548236, issued on Mar 21, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in La Verne, CA. The record was last updated on Apr 12, 2021.