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San Gabriel Children's Center, Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility in Azusa, California
NPI 1568910818

San Gabriel Children's Center, Inc. is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Covina, CA. San Gabriel Children's Center, Inc. practices in Azusa, CA. The NPI Number for San Gabriel Children's Center, Inc. is 1568910818 and holds a License No. (California).

The current practice location address for San Gabriel Children's Center, Inc. is 337 S Enid Ave, Azusa, CA and can be reached out via phone at 626-859-2089 and via fax at 626-859-6537.

Location: 337 S Enid Ave, Azusa, CA, 91724-3613
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568910818
Provider Name
San Gabriel Children's Center, Inc.
Credential
Provider Entity Type
Organization
Address
337 S Enid 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
337 S Enid Ave
City
Azusa
State
California
Zip
91702-4302
Phone Number
626-859-2089
Fax Number
626-859-6537
person
Provider Business Mailing Address Details
Address
337 S Enid Ave
City
Azusa
State
California
Zip
91702-4302
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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