Organization · Type 2 NPI

Ettie Lee Homes, Inc

Emotionally Disturbed Childrens' Residential Treatment Facility · Bloomington, CA

NPI number 1356975148 Active

Practice location

11282 Spruce Ave
Bloomington, CA 92316-3228

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.

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About NPI 1356975148

Ettie Lee Homes, Inc's National Provider Identifier is 1356975148, issued on Mar 2, 2020. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Bloomington, CA. The record was last updated on Oct 23, 2024.