| Eggleston Bhs - West Covina | |
|
1526 S St Malo St West Covina CA 91790-4836 | |
| (626) 480-8107 | |
| (626) 869-0280 |
| Full Name | Eggleston Bhs - West Covina |
|---|---|
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
| Location | 1526 S St Malo St, West Covina, 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 - West Covina 13001 Ramona Blvd Ste E Irwindale CA 91706-3752 Ph: (626) 480-8107 | Eggleston Bhs - West Covina 1526 S St Malo St West Covina CA 91790-4836 Ph: (626) 480-8107 |
| NPI Number | 1972040194 |
|---|---|
| Provider Enumeration Date | 01/25/2017 |
| Last Update Date | 04/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972040194 | NPI | - | NPPES |
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