# TRINITY YOUTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Trinity Yucaipa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861848525
- **Authorized official:** MR. JAMES R. ADAMS IV (DIRECTOR)
- **Authorized official phone:** (626) 444-0539

## Contact information

- **Practice address:** 10776 FREMONT ST, YUCAIPA, CA 92399-9630
- **Practice address phone:** (909) 797-0114
- **Practice address fax:** (909) 790-2148
- **Mailing address:** 10776 FREMONT ST, YUCAIPA, CA 92399-9630
- **Mailing address phone:** (909) 797-0114
- **Mailing address fax:** (909) 790-2148

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | CA | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2016
- **Last updated:** 10/15/2017