Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boys Republic

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1356032817

Boys Republic is a Mental Illness Community Based Residential Treatment Facility in Chino Hills, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

3606 John Watkins Way
Chino Hills, CA 91709-5453
Phone: (909) 740-3136
Fax: (909) 306-5427
Show map & directions

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

Record details

NPI number1356032817
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBoys Republic
Authorized official Michael Roa — Clinical Supervisor/Head Of Service · (909) 925-8134
Other names Boys Republic - Graves Strtp; Boys Republic - Graves Strtp
NPI enumeratedMay 16, 2023
Last updated in NPPESDecember 29, 2023
Certification dateDecember 29, 2023
Mailing address1907 Boys Republic Dr, Chino Hills, CA 91709-5447

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