Eggleston Youth Centers, Inc.
NPI #1578000790 in Upland, California
Provider Information
- NPI Number
- 1578000790
- Entity Type
- Organization
- Organization Name
- Eggleston Youth Centers, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- EGGLESTON YOUTH CENTERS, INC.
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Jan 25, 2017
- Last Updated
- Feb 1, 2018
Practice Location
- Address
- 684 E 7TH ST
- City
- Upland
- State
- California
- ZIP Code
- 91786-6746
- Phone
- (626) 480-8107
Authorized Official
- Name
- CASSANDRA ELAINE GIBSON-JUDKINS, LCSW
- Title
- ASSISTANT EXECUTIVE DIRECTOR
- Phone
- (626) 480-8107
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
| Residential Treatment Facility, Emotionally Disturbed Children |
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