Leroy Haynes Center

NPI #1467713743 in La Verne, California

Provider Information

NPI Number
1467713743
Entity Type
Organization
Organization Name
Leroy Haynes Center
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
Jun 4, 2012
Last Updated
Jun 4, 2012

Practice Location

Address
233 BASELINE RD
ZIP Code
91750-2353
Phone
(909) 593-2581

Authorized Official

Name
JENNIFER MOSSON
Title
LICENSED PSYCHIATRIC TECHNICIAN
Phone
(909) 592-3281

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Emotionally Disturbed Children

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