| Mitchell Boys Home Inc | |
|
43728 22nd St E Lancaster CA 93535-5650 | |
| (323) 804-0476 | |
| Not Available |
| Full Name | Mitchell Boys Home Inc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 43728 22nd St E, Lancaster, California |
| Authorized Official Name and Position | Bomtea Mitchell (CEO) |
| Authorized Official Contact | 3238040476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell Boys Home Inc 43728 22nd St E Lancaster CA 93535-5650 Ph: (323) 804-0476 | Mitchell Boys Home Inc 43728 22nd St E Lancaster CA 93535-5650 Ph: (323) 804-0476 |
| NPI Number | 1073071056 |
|---|---|
| Provider Enumeration Date | 03/08/2019 |
| Last Update Date | 04/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073071056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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