Organization · Type 2 NPI

Ettie Lee Homes, Inc

Emotionally Disturbed Childrens' Residential Treatment Facility · Fontana, CA

NPI number 1275167066 Active

Practice location

7637 Citrus Ave
Fontana, CA 92336-1911

Fax (909) 355-6678

Mailing address

160 E Holt Ave Ste B
Pomona, CA 91767-5407

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.

3 other providers at this address

About NPI 1275167066

Ettie Lee Homes, Inc's National Provider Identifier is 1275167066, issued on Mar 2, 2020. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Fontana, CA. The record was last updated on Oct 23, 2024.