Organization
EGGLESTON YOUTH CENTERS, INC.
Active
Parent organization
EGGLESTON YOUTH CENTERS, INC.
Other names
Eggleston Behavioral Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
EGGLESTON YOUTH CENTERS, INC.
Authorized official
CASSANDRA ELAINE GIBSON-JUDKINS LCSW (ASSISTANT EXECUTIVE DIRECTOR)
(626) 480-8107
Entity
Organization
Contact information
Practice address
3001 W VERNON AVE, LOS ANGELES, CA 90008-5293
(323) 299-9554
(323) 299-9540
Mailing address
3001 W VERNON AVE, LOS ANGELES, CA 90008-5293
(323) 299-9554
(323) 299-9540
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2011
Last updated
03/17/2020
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