Organization
DAVID AND MARGARET HOME, INC.
Active
Parent organization
DAVID AND MARGARET HOME, INC.
Other names
David and Margaret STRTP
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAVID AND MARGARET HOME, INC.
Authorized official
CHARLES RICH LCSW (EXECUTIVE DIRECTOR)
(909) 596-5921
Entity
Organization
Contact information
Practice address
1350 3RD ST, LA VERNE, CA 91750-5201
(909) 596-5921
(909) 596-7583
Mailing address
1350 3RD ST, LA VERNE, CA 91750-5201
(909) 596-5921
(909) 596-7583
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
191500192
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01227
—
CA
Enumeration date
02/08/2017
Last updated
02/16/2017
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