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Julie Nicole Stassart, BA
Emotionally Disturbed Childrens' Residential Treatment Facility in San Dimas, California
NPI 1831372747

Julie Nicole Stassart is a Emotionally Disturbed Childrens' Residential Treatment Facility based in San Dimas, CA. Julie Nicole Stassart practices in San Dimas, CA and has the professional credentials of BA. The NPI Number for Julie Nicole Stassart is 1831372747 and holds a License No. (California).

The current practice location address for Julie Nicole Stassart is 762 Cypress St, San Dimas, CA and can be reached out via phone at 909-599-1227 and via fax at 909-542-0210.

Location: 762 Cypress St, San Dimas, CA, 91773-3505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831372747
Provider Name
Julie Nicole Stassart
Credential
BA
Provider Entity Type
Individual
Gender
Female
Address
762 Cypress St, San Dimas, CA, 91773-3505
Phone Number
909-599-1227
Fax Number
909-542-0210
Provider Enumeration Date
12/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
762 Cypress St
City
San Dimas
State
California
Zip
91773-3505
Phone Number
909-599-1227
Fax Number
909-542-0210
person
Provider Business Mailing Address Details
Address
762 Cypress St
City
San Dimas
State
California
Zip
91773-3505
Phone Number
909-599-1227
Fax Number
909-542-0210
person
Provider's Taxonomy Details 1
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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