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Organization
CAREPROVIDER ORG FOUNDATION
Active
Organization
CAREPROVIDER ORG FOUNDATION
Active
Parent organization
CAREPROVIDER ORG FOUNDATION
Other names
CCFS I COVINA
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAREPROVIDER ORG FOUNDATION
Authorized official
DOROTHEA ELNORA BUFORD-LEVELS (HEAD OF SERVICE)
(310) 944-2314
Entity
Organization
Contact information
Practice address
858 KIDDER AVE, COVINA, CA 91724-2615
(626) 967-1105
(626) 967-1107
Mailing address
281 E WORKMAN ST STE 203, COVINA, CA 91723-3566
(626) 967-1105
(626) 967-1107
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/14/2016
Last updated
02/28/2019
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