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Organization

LAVELLE YOUTH HOMES

Active
Parent organization
LAVELLE YOUTH HOMES
Other names
The Lavelle Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
LAVELLE YOUTH HOMES
Authorized official
MRS. TRACI J LAVELLE (EXECUTIVE DIR)
(323) 829-0234
Entity
Organization

Contact information

Practice address
1025 W ARROW HWY, GLENDORA, CA 91740-5450
(323) 829-0234
Mailing address
1025 ARROW HIGH WAY, GLENDORA, CA 91740-5450
(323) 829-0234

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
07/17/2008
Last updated
06/26/2009
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