Eggleston Bhs - La Verne

LBN: Eggleston Youth Centers, Inc.
Eggleston Bhs - La Verne is an health care organization with primary practice located at 215 W La Verne Ave , Pomona CA 91767-2333. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children is the primary health care specialty. Eggleston Youth Centers, Inc. can be contacted via phone (626) 480-8107, or through Gibson-Judkins, Cassandra Elaine via phone (626) 480-8107.

Contact Information

Primary practice address
215 W La Verne Ave Pomona CA 91767-2333
Phone: (626) 480-8107
Fax: (626) 869-0280
Website:
Map and Directions
Authorized official contact:
Name: Gibson-Judkins, Cassandra Elaine Licensed Clinical Social Worker (LCSW)
Phone: (626) 480-8107

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X LCSW California

Profile Details

NPI number 1689111809
LBN Legal business name Eggleston Youth Centers, Inc.
DBA Doing business as Eggleston Bhs - La Verne
Authorized official Gibson-Judkins, Cassandra Elaine Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 25th, 2017
Last updated Oct 2nd, 2018 - about 6 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