Individual provider · Type 1 NPI

Julie Nicole Stassart, BA

Emotionally Disturbed Childrens' Residential Treatment Facility · San Dimas, CA

NPI number 1831372747 Active

Practice location

762 Cypress St
San Dimas, CA 91773-3505

Call (909) 599-1227 Map

Fax (909) 542-0210

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 1831372747

Julie Nicole Stassart, BA's National Provider Identifier is 1831372747, issued on Dec 13, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in San Dimas, CA. The record was last updated on Dec 13, 2007.