Organization · Type 2 NPI

Careprovider Org Foundation

Emotionally Disturbed Childrens' Residential Treatment Facility · Covina, CA

NPI number 1740747096 Active

Practice location

281 E Workman St Ste 203
Covina, CA 91723-3566

Fax (626) 967-1107

Other practice locations

  • 858 Kidder Ave, Covina, CA 91724-2615 · (626) 967-1105
  • 517 N Chalburn Ave, West Covina, CA 91790-1446 · (606) 967-1105
  • 1593 Densmore St, Pomona, CA 91767-4333 · (626) 967-1105

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 1740747096

Careprovider Org Foundation's National Provider Identifier is 1740747096, issued on Feb 22, 2019. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Covina, CA. The record was last updated on Feb 22, 2019.