Organization · Type 2 NPI
Realitos Divison
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · La Verne, CA
Practice location
612 Realitos Dr
La Verne, CA 91750-2844
Fax (909) 463-2005
Mailing address
13342 Victoria St
Rancho Cucamonga, CA 91739-2020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 960000953 (CA) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1912159385
Realitos Divison's National Provider Identifier is 1912159385, issued on Oct 16, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in La Verne, CA. The record was last updated on Jun 18, 2025.