Boys Republic
NPI #1962930859 in Monrovia, California
Provider Information
- NPI Number
- 1962930859
- Entity Type
- Organization
- Organization Name
- Boys Republic
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BOYS REPUBLIC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- May 23, 2017
- Last Updated
- Nov 30, 2022
Practice Location
- Address
- 128 E PALM AVE
- City
- Monrovia
- State
- California
- ZIP Code
- 91016-5108
- Phone
- (626) 358-4581
Authorized Official
- Name
- ELLEN STRICKLAND, LCSW
- Title
- RESIDENCE CLINICAL SUPERVISOR
- Phone
- (909) 287-6433
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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