Organization · Type 2 NPI

San Gabriel Childrens Center Inc.

Emotionally Disturbed Childrens' Residential Treatment Facility · Azusa, CA

NPI number 1205384559 Active

Practice location

5329 N Homerest Ave
Azusa, CA 91702-5429

Call (626) 859-2089 Map

Fax (626) 859-6537

Mailing address

1211 Center Court Dr Ste 105
Covina, CA 91724-3613

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1205384559

San Gabriel Childrens Center Inc.'s National Provider Identifier is 1205384559, issued on Sep 15, 2016. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Azusa, CA. The record was last updated on May 1, 2024.