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Organization
INSPIRE A YOUTH, INC
Active
Organization
INSPIRE A YOUTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATRESE NICHOLE ARMSTRONG (EXECUTIVE DIRECTOR)
(909) 717-3125
Entity
Organization
Contact information
Practice address
14605 GRAHAM AVE, VICTORVILLE, CA 92394-7004
(909) 717-3125
Mailing address
1209 BOSTON AVENUE, CHINCO, CA 91710
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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