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
7637 CITRUS AVE, FONTANA, CA 92336-1911
(909) 823-5662
(909) 355-6678
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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