Leroy Haynes Center

LBN: Haynes Family Of Programs
Leroy Haynes Center is an health care organization with primary practice located at 1025 Sentinel Dr Suites 200 & 206, La Verne CA 91750-3280. The organization recently has 5 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Agencies / Early Intervention Provider Agency, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adolescent and Children Mental Health, 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) 833-2986, or through Maydeck, Daniel S. via phone (909) 593-2581.

Contact Information

Primary practice address
1025 Sentinel Dr Suites 200 & 206 La Verne CA 91750-3280
Phone: (909) 833-2986
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Maydeck, Daniel S.
Phone: (909) 593-2581

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 000697 California
Agencies / Early Intervention Provider Agency 252Y00000X 000697 California
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 000697 California
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 000697 California
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 191501972 California

Profile Details

NPI number 1851642193
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 Sep 26th, 2012
Last updated Aug 15th, 2016 - about 8 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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