Organization
MITCHELL BOYS HOME INC
Active
Parent organization
MITCHELL BOYS HOME INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MITCHELL BOYS HOME INC
Authorized official
BOMTEA MITCHELL (EXECUTIVE DIRECTOR)
(323) 804-0476
Entity
Organization
Contact information
Practice address
43728 22ND ST E, LANCASTER, CA 93535-5650
(323) 804-0476
(866) 250-9117
Mailing address
PO BOX 2, ALTADENA, CA 91003-0002
(323) 804-0476
(866) 250-9117
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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