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Eggleston Youth Centers, Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility in West Covina, California
NPI 1972040194

Eggleston Youth Centers, Inc. is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Irwindale, CA. Eggleston Youth Centers, Inc. practices in West Covina, CA. The NPI Number for Eggleston Youth Centers, Inc. is 1972040194 and holds a License No. (California).

The current practice location address for Eggleston Youth Centers, Inc. is 1526 S St Malo St, West Covina, CA and can be reached out via phone at 626-480-8107 and via fax at 626-869-0280.

Location: 1526 S St Malo St, West Covina, CA, 91706-3752
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972040194
Provider Name
Eggleston Youth Centers, Inc.
Credential
Provider Entity Type
Organization
Address
1526 S St Malo St, West Covina, CA, 91706-3752
Phone Number
626-480-8107
Fax Number
626-869-0280
Provider Enumeration Date
01/25/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1526 S St Malo St
City
West Covina
State
California
Zip
91790-4836
Phone Number
626-480-8107
Fax Number
626-869-0280
person
Provider Business Mailing Address Details
Address
1526 S St Malo St
City
West Covina
State
California
Zip
91790-4836
Phone Number
626-480-8107
Fax Number
626-869-0280
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
197806374 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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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