NPI 1700336559
Boys Republic
Practice location
- Address
- 184 N Ivy Ave, Monrovia, CA 91016-2220
- Phone
- (626) 357-0957
- Fax
- (909) 306-5427
- Mailing address
- 1907 Boys Republic Dr, Chino Hills, CA 91709-5447
Authorised official
- Name
- Ellen Strickland
- Title
- Residence Clinical Supervisor
- Phone
- (909) 287-6433
Registered specialties (2)
Mental Illness Community Based Residential Treatment Facility
Primary
Community/Behavioral Health Agency
Registry record
- NPI
- 1700336559
- Entity type
- Organization
- NPI issued
- 5 Oct 2016
- Record last updated
- 30 Nov 2022
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.