SAN GABRIEL CHILDREN'S CENTER INC. NPI 1801346812

NPI Information

SAN GABRIEL CHILDREN'S CENTER, INC. is a residential treatment facility emotionally disturbed children in Covina, CA. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. SAN GABRIEL CHILDREN'S CENTER, INC. NPI is 1801346812. The provider is registered as an organization entity type.
The provider Other Name Is Sgcc-nearfield Home.

The provider's business location address is:

4740 N GRAND AVE
COVINA, CA
ZIP 91724-005
Phone: (626) 859-2089
Fax: (626) 859-6537

The provider's authorized official is Porfirio Rincon .
The authorized official title is Ceo and has the following contact phone number (626) 859-2089.

The enumeration date for this NPI number is 10/13/2016 and was last updated on 4/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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