Whalio Doctors

NPI 1013469881

Heritage Group Homes, INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Phillips Ranch, CA

Practice location

Address
30 Country Wood Dr, Phillips Ranch, CA 91766-4818
Phone
(909) 623-3400
Fax
(909) 599-8223
Mailing address
PO Box 8400, La Verne, CA 91750-8400

Authorised official

Name
Maria Serratos
Title
Program Administrator
Phone
(909) 599-8222

Registered specialties (2)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence 197804150 (CA)
Case Manager/Care Coordinator
Other Service Providers Taxonomy 171M00000X

Registry record

NPI
1013469881
Entity type
Organization
NPI issued
27 Oct 2016
Record last updated
21 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.