Haynes Family of Programs
NPI #1164548236 in La Verne, California
Provider Information
- NPI Number
- 1164548236
- Entity Type
- Organization
- Organization Name
- Haynes Family of Programs
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Mar 21, 2007
- Last Updated
- Apr 12, 2021
Practice Location
- Address
- 1350 3RD ST
- City
- La Verne
- State
- California
- ZIP Code
- 91750-5201
- Phone
- (909) 593-2581
Authorized Official
- Name
- MR. DANIEL S. MAYDECK
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (909) 593-2581
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
| Community Based Residential Treatment Facility, Mental Illness |
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