EAST VALLEY CHARLEE INC. NPI 1962073965

NPI Information

  • NPI: 1962073965
  • Provider Name: EAST VALLEY CHARLEE INC.
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • Address: 12820 GRANT ST.
    YUCAIPA, CA
    ZIP 92399
  • Phone: (909) 797-3153

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NPI Details

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 1962073965. The provider is registered as an organization entity type.

The provider's business location address is:

12820 GRANT ST.
YUCAIPA, CA
ZIP 92399-950
Phone: (909) 797-3153

The provider's authorized official is Tina Collins .
The authorized official title is Executive Director and has the following contact phone number (909) 307-5777.

The enumeration date for this NPI number is 7/9/2021 and was last updated on 12/24/2025.

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
1322D00000XResidential 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: 11/21/2025

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