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Organization
DIGNITY COMMUNITY SUPPORT SERVICES
Active
Organization
DIGNITY COMMUNITY SUPPORT SERVICES
Active
Other names
Dignity STRTP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAQEISHIA HAGANS EDD (HEAD OF SERVICE)
(909) 312-9480
Entity
Organization
Contact information
Practice address
13631 JEREMY CT, RANCHO CUCAMONGA, CA 91739-2031
(909) 803-0601
Mailing address
12352 RUTHERFORD DR, RANCHO CUCAMONGA, CA 91739-8871
(909) 312-9480
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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