CAREPROVIDER ORG FOUNDATION NPI 1942751268

NPI Information

CAREPROVIDER ORG FOUNDATION is a residential treatment facility emotionally disturbed children in Pomona, 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. CAREPROVIDER ORG FOUNDATION NPI is 1942751268. The provider is registered as an organization entity type.
The provider Other Name Is Ccfs Iii Pomona.

The provider's business location address is:

1593 DENSMORE ST
POMONA, CA
ZIP 91767-333
Phone: (626) 967-1105
Fax: (626) 967-1107

The provider's authorized official is Dorothea Elnora Buford-levels .
The authorized official title is Head Of Service and has the following contact phone number (310) 944-2314.

The enumeration date for this NPI number is 10/21/2016 and was last updated on 2/28/2019.

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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