| Eggleston Bhs - Waco Ii | |
|
13133 Waco St Baldwin Park CA 91706-4727 | |
| (626) 480-8107 | |
| (626) 869-0280 |
| Full Name | Eggleston Bhs - Waco Ii |
|---|---|
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
| Location | 13133 Waco St, Baldwin Park, California |
| Authorized Official Name and Position | Cassandra Elaine Gibson-judkins (ASSISTANT EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6264808107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eggleston Bhs - Waco Ii 13001 Ramona Blvd Ste E Irwindale CA 91706-3752 Ph: (626) 480-8107 | Eggleston Bhs - Waco Ii 13133 Waco St Baldwin Park CA 91706-4727 Ph: (626) 480-8107 |
| NPI Number | 1427595636 |
|---|---|
| Provider Enumeration Date | 01/25/2017 |
| Last Update Date | 10/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427595636 | NPI | - | NPPES |
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