Organization · Type 2 NPI

Boys Republic

Mental Illness Community Based Residential Treatment Facility · Monrovia, CA

NPI number 1700336559 Active

Practice location

184 N Ivy Ave
Monrovia, CA 91016-2220

Call (626) 357-0957 Map

Fax (909) 306-5427

Mailing address

1907 Boys Republic Dr
Chino Hills, CA 91709-5447

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency	251S00000X	None listed
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

8 other providers at this address

Other mental illness community based residential treatment facility providers in Monrovia

Boys RepublicMental Illness Community Based Residential Treatment Facility Monrovia, CA NPI 1023560836

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NPI record

NPI: 1700336559
Entity type: Organization (Type 2)
Issued: Oct 5, 2016
Last updated: Nov 30, 2022
Status: Active
Subpart: Yes of Boys Republic

Other names

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Boys Republic - Girls Republic · other name

Authorized official

Ellen Strickland, LCSW
Residence Clinical Supervisor
(909) 287-6433

Verify this record

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 1700336559

Boys Republic's National Provider Identifier is 1700336559, issued on Oct 5, 2016. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Monrovia, CA. The record was last updated on Nov 30, 2022.