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Organization
TRINITY YOUTH SERVICES
Active
Organization
TRINITY YOUTH SERVICES
Active
Other names
Trinity Yucaipa
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES R. ADAMS IV (DIRECTOR)
(626) 444-0539
Entity
Organization
Contact information
Practice address
10776 FREMONT ST, YUCAIPA, CA 92399-9630
(909) 797-0114
(909) 790-2148
Mailing address
10776 FREMONT ST, YUCAIPA, CA 92399-9630
(909) 797-0114
(909) 790-2148
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
CA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/11/2016
Last updated
10/15/2017
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