Ettie Lee Homes, Inc, NPI 1245458546
Adolescent and Children Mental Health Clinic/Center in Covina, CA, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1245458546 |
| NPI Entity Type | Organization |
| Provider Name |
Ettie Lee Homes, Inc
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 754 E Arrow Hwy, Suite F, Covina, CA, US |
| Provider Mailing Address | 5146 Maine Ave, P.o.box 339, Baldwin Park, CA, US, 917061658 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MRS. Terri Varnum |
| Official Position | PRESIDENT & CEO |
| Phone | 626-960-4861 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Adolescent and Children Mental Health Clinic/Center |
| Classification | |
| Group | |
| License No. | 197802737 |
| License State | CA |
| Description | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 7453A | CA | MENTAL HEALTH | 01 |
| 7008 | CA | DRUG & ALCOHOL | 01 |
| 7712 | CA | OTHER - MENTAL HEALTH | 01 |
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