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BOYS REPUBLIC NPI 1700577137


NPI Information

NPI: 1700577137
Provider Name: BOYS REPUBLIC

Other Name: BOYS REPUBLIC - MCCORMICK STRTP

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
3608 STEVE MCQUEEN DR
CHINO HILLS, CA
ZIP 91709
Phone: (909) 740-3138
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BOYS REPUBLIC is a community based residential treatment facility mental illness in Chino Hills, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. BOYS REPUBLIC NPI is 1700577137. The provider is registered as an organization entity type.
The provider Other Name Is Boys Republic - Mccormick Strtp.

The provider's business location address is:

3608 STEVE MCQUEEN DR
CHINO HILLS, CA
ZIP 91709-455
Phone: (909) 740-3138
Fax: (909) 306-5427

The provider's authorized official is Wayne Stemmler .
The authorized official title is Clinical Supervisor/head Of Service and has the following contact phone number (909) 315-9097.

The enumeration date for this NPI number is 5/17/2023 and was last updated on 12/29/2023.


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
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

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: 5/5/2024

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