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West Covina Group Corporation
Emotionally Disturbed Childrens' Residential Treatment Facility in Covina, California
NPI 1386191963

West Covina Group Corporation is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Covina, CA. West Covina Group Corporation practices in Covina, CA. The NPI Number for West Covina Group Corporation is 1386191963 and holds a License No. 360911241 (California).

The current practice location address for West Covina Group Corporation is 1274 Center Court Dr, #208, Covina, CA and can be reached out via phone at 626-221-6406 and via fax at 626-859-4087.

Location: 1274 Center Court Dr, #208, Covina, CA, 91724
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386191963
Provider Name
West Covina Group Corporation
Credential
Provider Entity Type
Organization
Address
1274 Center Court Dr, #208, Covina, CA, 91724
Phone Number
626-221-6406
Fax Number
626-859-4087
Provider Enumeration Date
09/01/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1274 Center Court Dr, #208
City
Covina
State
California
Zip
91724
Phone Number
626-221-6406
Fax Number
626-859-4087
person
Provider Business Mailing Address Details
Address
1274 Center Court Dr, #208
City
Covina
State
California
Zip
91724
Phone Number
626-221-6406
Fax Number
626-859-4087
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
360911241 (California)
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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