Organization
YOU THRIVE CARE SERVICES INC
Active
Other names
Lemon Grass Residential Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHALOS BROOKS HAIRE II MBA (CHIEF FINANCIAL OFFICER)
(714) 720-6968
Entity
Organization
Contact information
Practice address
10832 LEMON GRASS AVE, FONTANA, CA 92337-7628
(714) 720-6968
(909) 200-3805
Mailing address
10832 LEMON GRASS AVE, FONTANA, CA 92337-7628
(714) 720-6968
(909) 200-3805
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/14/2024
Last updated
01/31/2025
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