Organization · Type 2 NPI

Leroy Haynes Center

Emotionally Disturbed Childrens' Residential Treatment Facility · La Verne, CA

NPI number 1467713743 Active

Practice location

233 Baseline Rd
La Verne, CA 91750-2353

Call (909) 593-2581 Map

Fax (909) 596-3567

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XPT 34218 (CA)

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 1467713743

Leroy Haynes Center's National Provider Identifier is 1467713743, issued on Jun 4, 2012. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in La Verne, CA. The record was last updated on Jun 4, 2012.