Organization · Type 2 NPI

Eggleston Youth Centers, Inc.

Substance Abuse Rehabilitation Facility · Irwindale, CA

NPI number 1720357627 Active

Practice location

13001 Ramona Blvd Ste J
Irwindale, CA 91706-3752

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	None listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

8 other providers at this address

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NPI record

NPI: 1720357627
Entity type: Organization (Type 2)
Issued: Dec 21, 2011
Last updated: Feb 1, 2018
Status: Active
Subpart: Yes of Eggleston Youth Centers, Inc.

Other names

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Eggleston Substance Abuse and Education Program · doing business as

Authorized official

Cassandra Elaine Gibson-Judkins, LCSW
Assistant Executive Director
(626) 480-8107

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About NPI 1720357627

Eggleston Youth Centers, Inc.'s National Provider Identifier is 1720357627, issued on Dec 21, 2011. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Irwindale, CA. The record was last updated on Feb 1, 2018.