San Gabriel Children's Center, Inc.

NPI #1366994279 in Azusa, California

Provider Information

NPI Number
1366994279
Entity Type
Organization
Organization Name
San Gabriel Children's Center, Inc.
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
Oct 26, 2016
Last Updated
Dec 15, 2022

Practice Location

Address
5329 N HOMEREST AVE
City
Azusa
ZIP Code
91702-5429
Phone
(626) 859-2089

Authorized Official

Name
MR. PORFIRIO RINCON
Title
CEO
Phone
(626) 859-2089

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Emotionally Disturbed Children

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Provider Name
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