Organization
HERITAGE GROUP HOMES, INC.
Active
Other names
Heritage Youth Services 1
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA SERRATOS (PROGRAM ADMINISTRATOR)
(909) 599-8222
Entity
Organization
Contact information
Practice address
30 COUNTRY WOOD DR, PHILLIPS RANCH, CA 91766-4818
(909) 623-3400
(909) 599-8223
Mailing address
PO BOX 8400, LA VERNE, CA 91750-8400
(909) 599-8222
(909) 599-8223
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
197804150
CA
Other
Enumeration date
10/27/2016
Last updated
06/21/2023
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