| Leroy Haynes Center | |
|
1025 Sentinel Dr Suites 200 & 206 La Verne CA 91750-3280 | |
| (909) 833-2986 | |
| Not Available |
| Full Name | Leroy Haynes Center |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 1025 Sentinel Dr, La Verne, California |
| Authorized Official Name and Position | Daniel S. Maydeck (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9095932581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leroy Haynes Center 1025 Sentinel Dr Suites 200 & 206 La Verne CA 91750-3280 Ph: (909) 833-2986 | Leroy Haynes Center 1025 Sentinel Dr Suites 200 & 206 La Verne CA 91750-3280 Ph: (909) 833-2986 |
| NPI Number | 1851642193 |
|---|---|
| Provider Enumeration Date | 09/26/2012 |
| Last Update Date | 08/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851642193 | NPI | - | NPPES |
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