Haynes Family of Programs
NPI #1851642193 in La Verne, California
Provider Information
- NPI Number
- 1851642193
- Entity Type
- Organization
- Organization Name
- Haynes Family of Programs
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Sep 26, 2012
- Last Updated
- Aug 15, 2016
Practice Location
- Address
- 1025 SENTINEL DR
- Address 2
- SUITES 200 & 206
- City
- La Verne
- State
- California
- ZIP Code
- 91750-3280
- Phone
- (909) 833-2986
Authorized Official
- Name
- DANIEL S. MAYDECK
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (909) 593-2581
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
| Early Intervention Provider Agency |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
| Community Based Residential Treatment Facility, Mental Illness |
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