Haynes Family of Programs
NPI #1669905832 in La Verne, California
Provider Information
- NPI Number
- 1669905832
- Entity Type
- Organization
- Organization Name
- Haynes Family of Programs
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Apr 5, 2017
- Last Updated
- Jan 28, 2020
Practice Location
- Address
- 233 WEST BASELINE ROAD
- City
- La Verne
- State
- California
- ZIP Code
- 91750-2353
- Phone
- (909) 593-2581
Authorized Official
- Name
- CASSANDRA JONES
- Title
- STRTP ASSISTANT DIRECTOR
- Phone
- (909) 593-2581
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
| Residential Treatment Facility, Emotionally Disturbed Children |
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