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Haynes Family Of Programs
Emotionally Disturbed Childrens' Residential Treatment Facility in La Verne, California
NPI 1669905832

Haynes Family Of Programs is a Emotionally Disturbed Childrens' Residential Treatment Facility based in La Verne, CA. Haynes Family Of Programs practices in La Verne, CA. The NPI Number for Haynes Family Of Programs is 1669905832 and holds a License No. (California).

The current practice location address for Haynes Family Of Programs is 233 West Baseline Road, La Verne, CA and can be reached out via phone at 909-593-2581 and via fax at 909-833-2998.

Location: 233 West Baseline Road, La Verne, CA, 91750-2353
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669905832
Provider Name
Haynes Family Of Programs
Credential
Provider Entity Type
Organization
Address
233 West Baseline Road, La Verne, CA, 91750-2353
Phone Number
909-593-2581
Fax Number
909-833-2998
Provider Enumeration Date
04/05/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0175.00.02 01 CA FACILITY LICENSE
institution
Provider Business Practice Location Address Details
Address
233 West Baseline Road
City
La Verne
State
California
Zip
91750-2353
Phone Number
909-593-2581
Fax Number
909-833-2998
person
Provider Business Mailing Address Details
Address
233 West Baseline Road
City
La Verne
State
California
Zip
91750-2353
Phone Number
909-593-2581
Fax Number
909-833-2998
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
()
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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