# INSPIRE A YOUTH, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922607944
- **Authorized official:** LATRESE NICHOLE ARMSTRONG (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (909) 717-3125

## Contact information

- **Practice address:** 7556 AVENIDA BAJA, RIVERSIDE, CA 92509-3449
- **Practice address phone:** (951) 727-8385
- **Mailing address:** 12909 BOSTON AVE, CHINO, CA 91710-5934

## Taxonomy

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

## Other

- **Enumeration date:** 10/21/2020
- **Last updated:** 10/21/2020