| Eggleston Bhs - Irwindale | |
|
13001 Ramona Blvd Ste E Irwindale CA 91706-3752 | |
| (626) 480-8107 | |
| (626) 869-0280 |
| Full Name | Eggleston Bhs - Irwindale |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 13001 Ramona Blvd Ste E, Irwindale, California |
| Authorized Official Name and Position | Cassandra Elaine Gibson-judkins (ASSISTANT EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6264808107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eggleston Bhs - Irwindale 13001 Ramona Blvd Ste E Irwindale CA 91706-3752 Ph: (626) 480-8107 | Eggleston Bhs - Irwindale 13001 Ramona Blvd Ste E Irwindale CA 91706-3752 Ph: (626) 480-8107 |
| NPI Number | 1013455187 |
|---|---|
| Provider Enumeration Date | 02/08/2017 |
| Last Update Date | 04/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013455187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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