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Organization
MITCHELL BOYS HOME INC
Active
Organization
MITCHELL BOYS HOME INC
Active
Other names
Mitchell Boys Home INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOMTEA MITCHELL (CEO)
(323) 804-0476
Entity
Organization
Contact information
Practice address
43728 22ND ST E, LANCASTER, CA 93535-5650
(323) 804-0476
Mailing address
43728 22ND ST E, LANCASTER, CA 93535-5650
(323) 804-0476
(866) 250-9117
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2019
Last updated
04/02/2019
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