Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
HAYNES FAMILY OF PROGRAMS
Active
Organization
HAYNES FAMILY OF PROGRAMS
Active
Other names
HAYNES FP STRTP
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA JONES (STRTP ASSISTANT DIRECTOR)
(909) 593-2581
Entity
Organization
Contact information
Practice address
233 WEST BASELINE ROAD, LA VERNE, CA 91750-2353
(909) 593-2581
(909) 833-2998
Mailing address
233 WEST BASELINE RD, BOX 400, LA VERNE, CA 91750-2353
(909) 593-2581
(909) 614-7466
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0175.00.02
FACILITY LICENSE
CA
Enumeration date
04/05/2017
Last updated
01/28/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers