Organization · Type 2 NPI

Eggleston Youth Centers, Inc.

Adolescent and Children Mental Health Clinic/Center · Los Angeles, CA

NPI number 1285916882 Active

Practice location

3001 W Vernon Ave
Los Angeles, CA 90008-5293

Fax (323) 299-9540

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.

12 other providers at this address

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NPI record

NPI: 1285916882
Entity type: Organization (Type 2)
Issued: Sep 9, 2011
Last updated: Mar 17, 2020
Status: Active
Subpart: Yes of Eggleston Youth Centers, Inc.

Other names

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Eggleston Behavioral Health Services · other name

Authorized official

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

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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 1285916882

Eggleston Youth Centers, Inc.'s National Provider Identifier is 1285916882, issued on Sep 9, 2011. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 17, 2020.