Boys Republic
NPI #1356032817 in Chino Hills, California
Provider Information
- NPI Number
- 1356032817
- 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 16, 2023
- Last Updated
- Dec 29, 2023
Practice Location
- Address
- 3606 JOHN WATKINS WAY
- City
- Chino Hills
- State
- California
- ZIP Code
- 91709-5453
- Phone
- (909) 740-3136
Authorized Official
- Name
- MICHAEL ROA, LMFT
- Title
- CLINICAL SUPERVISOR/HEAD OF SERVICE
- Phone
- (909) 925-8134
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
Similar Providers
| Provider Name | |
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| Boys Republic Part of Boys Republic |  AI Deep Dive |
| Boys Republic | AI Deep Dive |
| Boys Republic Part of Boys Republic | AI Deep Dive |
| Boys Republic | AI Deep Dive |
| Boys Republic Part of Boys Republic | AI Deep Dive |
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