Leroy Haynes Center
LBN: Haynes Family Of Programs
Leroy Haynes Center is an health care organization with primary practice located at 1350 3Rd St , La Verne CA 91750-5201. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, 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.
Haynes Family Of Programs can be contacted via phone (909) 593-2581, or through Maydeck, Daniel S. via phone (909) 593-2581.
Contact Information
Primary practice address
1350 3Rd St
La Verne CA 91750-5201
Phone: (909) 593-2581
Fax: (909) 596-3567
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | 191501972 | California |
Profile Details
| NPI number | 1164548236 |
|---|---|
| LBN Legal business name | Haynes Family Of Programs |
| DBA Doing business as | Leroy Haynes Center |
| Authorized official | Maydeck, Daniel S. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Apr 12th, 2021 - about 3 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 | 1164548236 | NPPES |
| California | Other | 7565A | OUTPATIENT MENTAL HEALTH |
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