| Boys Republic | |
|
1907 Boys Republic Dr Chino Hills CA 91709 | |
| (909) 628-1217 | |
| (909) 306-5427 |
| Full Name | Boys Republic |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 1907 Boys Republic Dr, Chino Hills, California |
| Authorized Official Name and Position | Federico Escobedo Jarque (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9096281217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boys Republic 1907 Boys Republic Dr Chino Hills CA 91709-5447 Ph: (909) 628-1217 | Boys Republic 1907 Boys Republic Dr Chino Hills CA 91709 Ph: (909) 628-1217 |
| NPI Number | 1457700411 |
|---|---|
| Provider Enumeration Date | 06/09/2016 |
| Last Update Date | 11/30/2022 |
| Certification Date | 11/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457700411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | (* (Not Available)) | Primary |
Boys Republic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1907 Boys Republic Dr, Chino Hills, CA 91709 Phone: 909-628-1217 Fax: 909-306-5427 | |
Anne Reyhan Psychotherapist A Professional Corporation Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 14708 Pipeline Ave Ste B, #219, Chino Hills, CA 91709 Phone: 909-393-8585 Fax: 909-393-8566 | |
Avery's Heroes Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5871 Pine Ave, Suite 230, Chino Hills, CA 91709 Phone: 909-597-2226 | |
(providing Everyone Living Sober Assistance Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15363 Monterey Ave, Chino Hills, CA 91709 Phone: 310-383-7624 Fax: 909-393-6622 | |
Soulwell Family Guidance Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14772 Pipeline Ave Ste D, Chino Hills, CA 91709 Phone: 909-313-9098 | |
Hope Behavioral Consultants Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4195 Chino Hills Pkwy # 1061, Chino Hills, CA 91709 Phone: 562-713-0401 |