# SAN GABRIEL CHILDREN'S CENTER INCORPORATED

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

## Provider details

- **NPI number:** 1992822621
- **Authorized official:** MRS. NICTE CAJERO (SOCIAL WORKER)
- **Authorized official phone:** (626) 859-2089

## Contact information

- **Practice address:** 4740 N GRAND AVE, COVINA, CA 91724-2005
- **Practice address phone:** (626) 859-2089
- **Mailing address:** 13435 MULBERRY DR APT 16, WHITTIER, CA 90605-4651
- **Mailing address phone:** (562) 698-1692

## Taxonomy

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

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 08/22/2020