Boys Republic - Pomona Residence

LBN: Boys Republic
Boys Republic - Pomona Residence is an health care organization with primary practice located at 733 N Garey Ave , Pomona CA 91767. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Boys Republic can be contacted via phone (909) 622-3556, or through Dark, Bayley via phone (909) 536-6611.

Contact Information

Primary practice address
733 N Garey Ave Pomona CA 91767
Phone: (909) 622-3556
Fax: (909) 306-5427
Website:
Map and Directions
Authorized official contact:
Name: Dark, Bayley Licensed Clinical Social Worker (LCSW)
Phone: (909) 536-6611

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1215489000
LBN Legal business name Boys Republic
DBA Doing business as Boys Republic - Pomona Residence
Authorized official Dark, Bayley Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 27th, 2016
Last updated Nov 30th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers