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Organization
ETTIE LEE HOMES, INC
Active
Organization
ETTIE LEE HOMES, INC
Active
Other names
Ettie Lee Youth and Family Services
Organization subpart
No
Provider details
NPI number
Authorized official
WINDY LUNA PEREZ (QA MANAGER)
(909) 620-2521
Entity
Organization
Contact information
Practice address
7637 CITRUS AVE, FONTANA, CA 92336-1911
(909) 823-5662
(909) 355-6678
Mailing address
160 E HOLT AVE STE B, POMONA, CA 91767-5407
(909) 620-2521
(909) 620-9793
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/02/2020
Last updated
10/23/2024
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