Organization
ETTIE LEE HOMES, INC
Active
Other names
Ettie Lee Youth and Family Services
Organization subpart
No
Provider details
NPI number
Authorized official
WINDY LUNA PEREZ (QA MANAGER)
(909) 620-2521
Entity
Organization
Contact information
Practice address
28721 LIVE OAK CANYON RD, REDLANDS, CA 92373-7913
(909) 792-2137
(909) 798-0910
Mailing address
160 E HOLT AVE STE B, POMONA, CA 91767-5407
(909) 620-2521
(909) 620-9793
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/02/2020
Last updated
10/23/2024
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