Organization
WEST COVINA GROUP CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARDIP GILL ENGINEER (EXECUTIVE DIRECTOR)
(626) 221-6406
Entity
Organization
Contact information
Practice address
1274 CENTER COURT DR, #208, COVINA, CA 91724
(626) 221-6406
(626) 859-4087
Mailing address
1274 CENTER COURT DR, #208, COVINA, CA 91724
(626) 221-6406
(626) 859-4087
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
360911241
CA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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