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13133 Waco St Baldwin Park CA 91706-4727 | |
(626) 480-8107 | |
(626) 869-0280 |
Full Name | |
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Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
Location | 13133 Waco St, Baldwin Park, 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 |
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13001 Ramona Blvd Ste E Irwindale CA 91706-3752 Ph: (626) 480-8107 | 13133 Waco St Baldwin Park CA 91706-4727 Ph: (626) 480-8107 |
NPI Number | 1427595636 |
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Provider Enumeration Date | 01/25/2017 |
Last Update Date | 10/02/2018 |
Identifier | Type | State | Issuer |
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1427595636 | NPI | - | NPPES |
Foothill Family Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4245 Merced Ave, Baldwin Park, CA 91706 Phone: 626-993-3000 Fax: 626-993-3084 | |