Organization · Type 2 NPI

West Covina Foster Family Agency

Emotionally Disturbed Childrens' Residential Treatment Facility · Pomona, CA

NPI number 1609414739 Active

Practice location

1568 Mcleod Pl
Pomona, CA 91768-1348

Call (909) 620-7543 Map

Fax (909) 865-3325

Mailing address

527 E Rowland St Ste 100C&D
Covina, CA 91723-3266

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000XNone listed
Clinical Psychologist 103TC0700XNone listed
Group Psychotherapy Psychologist 103TP2701XNone listed
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
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

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About NPI 1609414739

West Covina Foster Family Agency's National Provider Identifier is 1609414739, issued on Dec 19, 2019. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Pomona, CA. The record was last updated on Sep 22, 2022.