Ettie Lee Homes, Inc, NPI 1245458546
Adolescent and Children Mental Health Clinic/Center in Covina, CA, US

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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
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Organization Official

Official Name MRS. Terri Varnum
Official Position PRESIDENT & CEO
Phone 626-960-4861

Primary Taxonomy

Taxonomy Code

261QM0855X

Taxonomy Name Adolescent and Children Mental Health Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

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 Organization Name

Ettie Lee - Covina
Doing Business As

Business Address

Ettie Lee Homes, Inc
754 E Arrow Hwy
Suite F

Covina, CA, US

Phone: 626-967-5082
Fax: 626-859-5002

Mailing Address

Ettie Lee Homes, Inc
5146 Maine Ave
P.o.box 339
Baldwin Park, CA, US
ZIP 917061658
Phone: 626-960-4861
Fax: 626-960-6241

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

Other Providers in CA, US

NPI Name Taxonomy Address

1437888120

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BA SLPA Anna Shurilla

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MS. PA-C Leia Binh Tang

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Heidi Velasquez

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DR. D.C. Julio Cesar Fassino

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Jacqueline Daphnee Surpin

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Neurology Physician

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AMFT Johanna Belen Brubaker

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April Waight

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1200 Concord Ave Ste 100

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Catherine S. Montemayor

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LMFT Jeremey Sulker-hall

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M.D., M.P.H. Vivek Datta

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2211 Post St Ste 300

San Francisco, CA

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MFT Yasmin Vishram-morris

Individual

Marriage & Family Therapist

9696 Culver Blvd Ste 303

Culver City, CA

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