# CAREPROVIDER ORG FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAREPROVIDER ORG FOUNDATION
- **Other names:** CCFS I COVINA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1568913580
- **Legal business name:** CAREPROVIDER ORG FOUNDATION
- **Authorized official:** DOROTHEA ELNORA BUFORD-LEVELS (HEAD OF SERVICE)
- **Authorized official phone:** (310) 944-2314

## Contact information

- **Practice address:** 858 KIDDER AVE, COVINA, CA 91724-2615
- **Practice address phone:** (626) 967-1105
- **Practice address fax:** (626) 967-1107
- **Mailing address:** 281 E WORKMAN ST STE 203, COVINA, CA 91723-3566
- **Mailing address phone:** (626) 967-1105
- **Mailing address fax:** (626) 967-1107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 10/14/2016
- **Last updated:** 02/28/2019