Lavelle Youth Homes

NPI #1649434697 in Glendora, California

Provider Information

NPI Number: 1649434697
Entity Type: Organization
Organization Name: Lavelle Youth Homes
Subpart: Yes (part of a larger organization)
Parent Organization: LAVELLE YOUTH HOMES
Primary Specialty: Clinic/Center
Enumeration Date: Jul 17, 2008
Last Updated: Jun 26, 2009

Practice Location

Address: 1025 W ARROW HWY
City: Glendora
State: California
ZIP Code: 91740-5450
Phone: (323) 829-0234

Authorized Official

Name: MRS. TRACI J LAVELLE
Title: EXECUTIVE DIR
Phone: (323) 829-0234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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