Eggleston Bhs - West Covina
LBN: Eggleston Youth Centers, Inc.
Eggleston Bhs - West Covina is an health care organization with primary practice located at 1526 S St Malo St , West Covina CA 91790-4836. 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
1526 S St Malo St
West Covina CA 91790-4836
Phone: (626) 480-8107
Fax: (626) 869-0280
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 |
---|---|---|---|
Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X | ||
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | 197806374 | California |
Profile Details
NPI number | 1972040194 |
---|---|
LBN Legal business name | Eggleston Youth Centers, Inc. |
DBA Doing business as | Eggleston Bhs - West Covina |
Authorized official | Gibson-Judkins, Cassandra Elaine Licensed Clinical Social Worker (LCSW) |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Jan 25th, 2017 |
Last updated | Apr 25th, 2018 - about 7 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.
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