Eggleston Youth Centers, Inc.

NPI #1063697563 in Baldwin Park, California

Provider Information

NPI Number
1063697563
Entity Type
Organization
Organization Name
Eggleston Youth Centers, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
EGGLESTON YOUTH CENTERS, INC.
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
Jan 2, 2008
Last Updated
Feb 1, 2018

Practice Location

Address
13135 WACO ST
ZIP Code
91706-4727
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 HealthAdolescent and Children Mental Health
Residential Treatment Facility, Emotionally Disturbed Children

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Provider Name
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Organizations

Provider Name
Eggleston Youth Centers, Inc.

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