Eggleston Substance Abuse And Education Program
LBN: Eggleston Youth Centers, Inc.
Eggleston Substance Abuse And Education Program is an health care organization with primary practice located at 13001 Ramona Blvd Ste J , Irwindale CA 91706-3752. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as 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
13001 Ramona Blvd Ste J
Irwindale CA 91706-3752
Phone: (626) 480-8107
Fax:
Website:
Authorized official contact:
Name: Gibson-Judkins, Cassandra Elaine Licensed Clinical Social Worker (LCSW)
Phone: (626) 480-8107
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X |
Profile Details
| NPI number | 1720357627 |
|---|---|
| LBN Legal business name | Eggleston Youth Centers, Inc. |
| DBA Doing business as | Eggleston Substance Abuse And Education Program |
| Authorized official | Gibson-Judkins, Cassandra Elaine Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Dec 21st, 2011 |
| Last updated | Feb 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720357627 | NPPES |
| California | Other | 7427 | MEDI-CAL |
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