Organization · Type 2 NPI

San Gabriel Children's Center, Inc.

Emotionally Disturbed Childrens' Residential Treatment Facility · Azusa, CA

NPI number 1649722554 Active

Practice location

337 South Enid Ave
Azusa, CA 91702-4302

Fax (626) 859-6537

Mailing address

1211 Center Court Dr Ste 105
Covina, CA 91724-3613

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 1649722554

San Gabriel Children's Center, Inc.'s National Provider Identifier is 1649722554, issued on Oct 26, 2016. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Azusa, CA. The record was last updated on Dec 15, 2022.