# C.H.A.R.L.E.E. FAMILY CARE, INC.

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

## Provider details

- **NPI number:** 1982080446
- **Authorized official:** DR. JASON CARL JIMENEZ (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (909) 379-9680

## Contact information

- **Practice address:** 495 E ORANGE AVENUE, EL CENTRO, CA 92243-2744
- **Practice address phone:** (760) 353-6151
- **Practice address fax:** (760) 353-6152
- **Mailing address:** 136 E 6TH STREET, BEAUMONT, CA 92223-2146
- **Mailing address phone:** (951) 845-3588
- **Mailing address fax:** (951) 845-3544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 08/07/2015
- **Last updated:** 09/22/2025