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San Gabriel Childrens Center Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility in Azusa, California
NPI 1205384559

San Gabriel Childrens Center Inc. is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Covina, CA. San Gabriel Childrens Center Inc. practices in Azusa, CA. The NPI Number for San Gabriel Childrens Center Inc. is 1205384559 and holds a License No. (California).

The current practice location address for San Gabriel Childrens Center Inc. is 5329 N Homerest Ave, Azusa, CA and can be reached out via phone at 626-859-2089 and via fax at 626-859-6537. You can also correspond with San Gabriel Childrens Center Inc. through the mailing address at 1211 CENTER COURT DR STE 105, COVINA, CA - 91724-3613 (mailing address contact number: 626-859-2089).

Location: 5329 N Homerest Ave, Azusa, CA, 91724-3613
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205384559
Provider Name
San Gabriel Childrens Center Inc.
Credential
Provider Entity Type
Organization
Address
5329 N Homerest Ave, Azusa, CA, 91724-3613
Phone Number
626-859-2089
Fax Number
626-859-6537
Provider Enumeration Date
09/15/2016
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000056BJ 05 CA
institution
Provider Business Practice Location Address Details
Address
5329 N Homerest Ave
City
Azusa
State
California
Zip
91702-5429
Phone Number
626-859-2089
Fax Number
626-859-6537
person
Provider Business Mailing Address Details
Address
5329 N Homerest Ave
City
Azusa
State
California
Zip
91702-5429
Phone Number
626-859-2089
Fax Number
626-859-6537
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
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Definition
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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