Organization
TRINITY YOUTH SERVICES
Active
Other names
Trinity Yucaipa
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES R. ADAMS IV (DIRECTOR)
(626) 444-0539
Entity
Organization
Contact information
Practice address
10776 FREMONT ST, YUCAIPA, CA 92399-9630
(909) 797-0114
(909) 790-2148
Mailing address
10776 FREMONT ST, YUCAIPA, CA 92399-9630
(909) 797-0114
(909) 790-2148
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
CA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/11/2016
Last updated
10/15/2017
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