Boys Republic
Boys Republic is a Community/Behavioral Health Agency in Pomona, California. Registered with an NPI since 2016.
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
733 N Garey AvePomona, CA 91767
Phone: (909) 622-3556
Fax: (909) 306-5427
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
Record details
| NPI number | 1215489000 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Boys Republic |
| Authorized official | Bayley Dark — Clinician/Head Of Service · (909) 536-6611 |
| Other names | Boys Republic - Pomona Residence |
| NPI enumerated | October 27, 2016 |
| Last updated in NPPES | November 30, 2022 |
| Certification date | November 30, 2022 |
| Mailing address | 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 |
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