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Ettie Lee Homes, Inc
Emotionally Disturbed Childrens' Residential Treatment Facility in Pomona, California
NPI 1992890057

Ettie Lee Homes, Inc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Glendora, CA. Ettie Lee Homes, Inc practices in Pomona, CA. The NPI Number for Ettie Lee Homes, Inc is 1992890057 and holds a License No. (California).

The current practice location address for Ettie Lee Homes, Inc is 160 E Holt Ave Ste B, Pomona, CA and can be reached out via phone at 909-620-2521 and via fax at 909-620-9793.

Location: 160 E Holt Ave Ste B, Pomona, CA, 91741-3386
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992890057
Provider Name
Ettie Lee Homes, Inc
Credential
Provider Entity Type
Organization
Address
160 E Holt Ave Ste B, Pomona, CA, 91741-3386
Phone Number
909-620-2521
Fax Number
909-620-9793
Provider Enumeration Date
10/04/2006
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
36IHCR 01 CA SBCDBH
7453A 01 CA LACDMH
institution
Provider Business Practice Location Address Details
Address
160 E Holt Ave Ste B
City
Pomona
State
California
Zip
91767-5407
Phone Number
909-620-2521
Fax Number
909-620-9793
person
Provider Business Mailing Address Details
Address
160 E Holt Ave Ste B
City
Pomona
State
California
Zip
91767-5407
Phone Number
909-620-2521
Fax Number
909-620-9793
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Foster Care Agency
Speciality
-
Taxonomy
253J00000X
License No.
C07933 (California)
Definition
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
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 3
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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