Boys Republic

NPI #1023560836 in Monrovia, California

Provider Information

NPI Number: 1023560836
Entity Type: Organization
Organization Name: Boys Republic
Subpart: Yes (part of a larger organization)
Parent Organization: BOYS REPUBLIC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Oct 27, 2016
Last Updated: Dec 29, 2023

Practice Location

Address: 802 OCEAN VIEW AVE
City: Monrovia
State: California
ZIP Code: 91016-2420
Phone: (909) 628-1217

Authorized Official

Name: WHITNEY PAINE, LCSW
Title: CLINICIAN/HEAD OF SERVICE
Phone: (909) 993-2658

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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