Boys Republic - Graves Strtp

LBN: Boys Republic
Boys Republic - Graves Strtp is an health care organization with primary practice located at 3606 John Watkins Way , Chino Hills CA 91709-5453. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Boys Republic can be contacted via phone (909) 740-3136, or through Roa, Michael via phone (909) 925-8134.

Contact Information

Primary practice address
3606 John Watkins Way Chino Hills CA 91709-5453
Phone: (909) 740-3136
Fax: (909) 306-5427
Website:
Map and Directions
Authorized official contact:
Name: Roa, Michael LMFT
Phone: (909) 925-8134

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1356032817
LBN Legal business name Boys Republic
DBA Doing business as Boys Republic - Graves Strtp
Authorized official Roa, Michael LMFT
Entity Organization
Organization subpart 1 Yes
Enumeration date May 16th, 2023
Last updated Dec 29th, 2023 - about last year

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.

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