EGGLESTON YOUTH CENTERS INC. NPI 1013455187

NPI Information

  • NPI: 1013455187
  • Provider Name: EGGLESTON YOUTH CENTERS, INC.
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Organization
  • Other Name: EGGLESTON BHS - IRWINDALE
  • Address: 13001 RAMONA BLVD STE E
    IRWINDALE, CA
    ZIP 91706
  • Phone: (626) 480-8107

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NPI Details

EGGLESTON YOUTH CENTERS, INC. is an adolescent and children mental health clinic center in Irwindale, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. EGGLESTON YOUTH CENTERS, INC. NPI is 1013455187. The provider is registered as an organization entity type.
The provider Other Name Is Eggleston Bhs - Irwindale.

The provider's business location address is:

13001 RAMONA BLVD STE E
IRWINDALE, CA
ZIP 91706-752
Phone: (626) 480-8107
Fax: (626) 869-0280

The provider's authorized official is Cassandra Elaine Gibson-judkins .
The authorized official title is Assistant Executive Director and has the following contact phone number (626) 480-8107.

The enumeration date for this NPI number is 2/8/2017 and was last updated on 4/25/2018.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

What is NPI?

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This page was last updated on: 11/21/2025

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