Organization · Type 2 NPI

East Valley Charlee Inc.

Emotionally Disturbed Childrens' Residential Treatment Facility · Yucaipa, CA

NPI number 1962073965 Active

Practice location

12820 Grant St.
Yucaipa, CA 92399-4950

Call (909) 797-3153 Map

Mailing address

101 E. Redlands Blvd, Suite 285
Redlands, CA 92373-5776

Specialties and licenses

Taxonomy	Code	License
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	None 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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NPI record

NPI: 1962073965
Entity type: Organization (Type 2)
Issued: Jul 9, 2021
Last updated: Dec 24, 2025
Status: Active
Subpart: Yes of East Valley Charlee, Inc.

Other names

Grant (pinta) Group Home · doing business as
Grant (pinta) Group Home · other name

Authorized official

Tina Collins, LMFT
Executive Director
(909) 307-5777

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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 1962073965

East Valley Charlee Inc.'s National Provider Identifier is 1962073965, issued on Jul 9, 2021. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Yucaipa, CA. The record was last updated on Dec 24, 2025.