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Organization
CAREPROVIDER ORG FOUNDATION
Active
Organization
CAREPROVIDER ORG FOUNDATION
Active
Parent organization
CAREPROVIDER ORG FOUNDATION
Other names
CCFS III POMONA
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAREPROVIDER ORG FOUNDATION
Authorized official
DOROTHEA ELNORA BUFORD-LEVELS (HEAD OF SERVICE)
(310) 944-2314
Entity
Organization
Contact information
Practice address
1593 DENSMORE ST, POMONA, CA 91767-4333
(626) 967-1105
(626) 967-1107
Mailing address
281 E WORKMAN ST STE 203, COVINA, CA 91723-3566
(626) 967-1105
(626) 967-1107
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/21/2016
Last updated
02/28/2019
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