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Organization
WEST COVINA FOSTER FAMILY AGENCY
Active
Organization
WEST COVINA FOSTER FAMILY AGENCY
Active
Other names
Sunrise Horizon, Casa Esperanza STRTP Chino
Organization subpart
No
Provider details
NPI number
Authorized official
SUKHWINDER KAUR SINGH RN (CHIEF EXECUTIVE OFFICER)
(626) 814-9085
Entity
Organization
Contact information
Practice address
4041 CARROLL COURT, CHINO, CA 91710-3139
(909) 591-2589
(909) 364-2311
Mailing address
527 E ROWLAND ST STE 100C&D, COVINA, CA 91723-3266
(626) 814-9085
(626) 814-2276
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197804217
—
CA
Enumeration date
09/14/2016
Last updated
09/22/2022
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