Organization · Type 2 NPI

Boys Republic

Community/Behavioral Health Agency · Monrovia, CA

NPI number 1962930859 Active

Practice location

128 E Palm Ave
Monrovia, CA 91016-5108

Call (626) 358-4581 Map

Fax (909) 627-9222

Mailing address

1907 Boys Republic Dr
Chino Hills, CA 91709-5447

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

Another provider at this address

Jocael SuarezStudent in an Organized Health Care Education/Training Program Monrovia, CA NPI 1568084176

Other community/behavioral health agency providers in Monrovia

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NPI record

NPI: 1962930859
Entity type: Organization (Type 2)
Issued: May 23, 2017
Last updated: Nov 30, 2022
Status: Active
Subpart: Yes of Boys Republic

Other names

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Boys Republic - Monrovia · other name

Authorized official

Ellen Strickland, LCSW
Residence Clinical Supervisor
(909) 287-6433

Verify this record

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 1962930859

Boys Republic's National Provider Identifier is 1962930859, issued on May 23, 2017. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Monrovia, CA. The record was last updated on Nov 30, 2022.