Organization
MITCHELL BOYS HOME INC
Active
Other names
Mitchell Boys Home INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOMTEA MITCHELL (CEO)
(323) 804-0476
Entity
Organization
Contact information
Practice address
43728 22ND ST E, LANCASTER, CA 93535-5650
(323) 804-0476
Mailing address
43728 22ND ST E, LANCASTER, CA 93535-5650
(323) 804-0476
(866) 250-9117
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2019
Last updated
04/02/2019
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