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TRINITY YOUTH SERVICES NPI 1861848525


NPI Information

NPI: 1861848525
Provider Name: TRINITY YOUTH SERVICES

Other Name: TRINITY YUCAIPA

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
10776 FREMONT ST
YUCAIPA, CA
ZIP 92399
Phone: (909) 797-0114
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TRINITY YOUTH SERVICES 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. TRINITY YOUTH SERVICES NPI is 1861848525. The provider is registered as an organization entity type.
The provider Other Name Is Trinity Yucaipa.

The provider's business location address is:

10776 FREMONT ST
YUCAIPA, CA
ZIP 92399-630
Phone: (909) 797-0114
Fax: (909) 790-2148

The provider's authorized official is James R. Adams .
The authorized official title is Director and has the following contact phone number (626) 444-0539.

The enumeration date for this NPI number is 5/11/2016 and was last updated on 10/15/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthCALIFORNIANo
2322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

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: 4/28/2024

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