Organization · Type 2 NPI

Ettie Lee Homes, Inc

Adolescent and Children Mental Health Clinic/Center · Pomona, CA

NPI number 1992890057 Active

Practice location

160 E Holt Ave Ste B
Pomona, CA 91767-5407

Call (909) 620-2521 Map

Fax (909) 620-9793

Mailing address

303 W Foothill Blvd Ste 13
Glendora, CA 91741-3386

Specialties and licenses

TaxonomyCodeLicense
Foster Care Agency 253J00000XNone listed
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855XNone listed
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000XC07933 (CA)

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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About NPI 1992890057

Ettie Lee Homes, Inc's National Provider Identifier is 1992890057, issued on Oct 4, 2006. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Pomona, CA. The record was last updated on Oct 24, 2024.