Organization
INSPIRE A YOUTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATRESE NICHOLE ARMSTRONG (EXECUTIVE DIRECTOR)
(909) 717-3125
Entity
Organization
Contact information
Practice address
6630 AVENIDA VALENCIA, RIVERSIDE, CA 92509-5625
(909) 717-3125
Mailing address
12909 BOSTON AVENUE, CHINO, CA 91710
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/17/2017
Last updated
08/10/2017
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