EAST VALLEY CHARLEE INC. NPI 1528641511

NPI Information

EAST VALLEY CHARLEE, INC. is a residential treatment facility emotionally disturbed children in Yucaipa, 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. EAST VALLEY CHARLEE, INC. NPI is 1528641511. The provider is registered as an organization entity type.
The provider Is Doing Business As Santa Maria Group Home.

The provider's business location address is:

35895 SANTA MARIA ST
YUCAIPA, CA
ZIP 92399-504
Phone: (909) 307-5777
Fax: (909) 307-5776

The provider's authorized official is Ricky Chali .
The authorized official title is Facilitator and has the following contact phone number (909) 307-5777.

The enumeration date for this NPI number is 4/28/2021 and was last updated on 9/20/2021.

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:

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