Organization
C.H.A.R.L.E.E. FAMILY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON CARL JIMENEZ (EXECUTIVE DIRECTOR)
(909) 379-9680
Entity
Organization
Contact information
Practice address
495 E ORANGE AVENUE, EL CENTRO, CA 92243-2744
(760) 353-6151
(760) 353-6152
Mailing address
136 E 6TH STREET, BEAUMONT, CA 92223-2146
(951) 845-3588
(951) 845-3544
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
08/07/2015
Last updated
09/22/2025
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