| Boys Republic - Monrovia | |
|
128 E Palm Ave Monrovia CA 91016-5108 | |
| (626) 358-4581 | |
| (909) 627-9222 |
| Full Name | Boys Republic - Monrovia |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 128 E Palm Ave, Monrovia, California |
| Authorized Official Name and Position | Ellen Strickland (RESIDENCE CLINICAL SUPERVISOR) |
| Authorized Official Contact | 9092876433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boys Republic - Monrovia 1907 Boys Republic Dr Chino Hills CA 91709-5447 Ph: (909) 628-1217 | Boys Republic - Monrovia 128 E Palm Ave Monrovia CA 91016-5108 Ph: (626) 358-4581 |
| NPI Number | 1962930859 |
|---|---|
| Provider Enumeration Date | 05/23/2017 |
| Last Update Date | 11/30/2022 |
| Certification Date | 11/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962930859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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