Boys Republic
NPI #1083305411 in Chino Hills, California
Provider Information
- NPI Number
- 1083305411
- 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
- May 17, 2023
- Last Updated
- Dec 29, 2023
Practice Location
- Address
- 3624 MARGARET FOWLER CT
- City
- Chino Hills
- State
- California
- ZIP Code
- 91709-5456
- Phone
- (909) 740-3133
Authorized Official
- Name
- JUDITH EDMUNDSON, LPCC
- Title
- CLINICAL SUPERVISOR/HEAD OF SERVICE
- Phone
- (909) 925-7693
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
Similar Providers
| Provider Name | |
|---|---|
| Boys Republic | |
| Boys Republic Part of Boys Republic | |
| Boys Republic Part of Boys Republic | |
| Boys Republic | |
| Boys Republic Part of Boys Republic |
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