Eggleston Youth Centers, Inc.
NPI #1013455187 in Irwindale, California
Provider Information
- NPI Number
- 1013455187
- Entity Type
- Organization
- Organization Name
- Eggleston Youth Centers, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- EGGLESTON YOUTH CENTERS, INC.
- Primary Specialty
- Clinic/Center - Adolescent and Children Mental Health
- Enumeration Date
- Feb 8, 2017
- Last Updated
- Apr 25, 2018
Practice Location
- Address
- 13001 RAMONA BLVD STE E
- City
- Irwindale
- State
- California
- ZIP Code
- 91706-3752
- Phone
- (626) 480-8107
Authorized Official
- Name
- CASSANDRA ELAINE GIBSON-JUDKINS, LCSW
- Title
- ASSISTANT EXECUTIVE DIRECTOR
- Phone
- (626) 480-8107
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
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