EGGLESTON YOUTH CENTERS INC. NPI 1578000790

NPI Information

NPI: 1578000790
Provider Name: EGGLESTON YOUTH CENTERS, INC.

Other Name: EGGLESTON BHS - UPLAND

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
684 E 7TH ST
UPLAND, CA
ZIP 91786
Phone: (626) 480-8107
Get Directions

EGGLESTON YOUTH CENTERS, INC. is a residential treatment facility emotionally disturbed children in Upland, 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. EGGLESTON YOUTH CENTERS, INC. NPI is 1578000790. The provider is registered as an organization entity type.
The provider Other Name Is Eggleston Bhs - Upland.

The provider's business location address is:

684 E 7TH ST
UPLAND, CA
ZIP 91786-746
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 1/25/2017 and was last updated on 2/1/2018.

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
1	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No
2	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		366426270	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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