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

Haynes Family of Programs

Organization Community/Behavioral Health Agency · NPI 1851642193

Haynes Family of Programs is a Community/Behavioral Health Agency in LA Verne, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
Specialties on file
5

Practice location Address checks out

1025 Sentinel Dr Suites 200 & 206
LA Verne, CA 91750-3280
Phone: (909) 833-2986
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 · Licence 191501972 (CA)
Community/Behavioral Health Agency Taxonomy 251S00000X · Licence 000697 (CA)
Early Intervention Provider Agency Taxonomy 252Y00000X · Licence 000697 (CA)
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X · Licence 000697 (CA)
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X · Licence 000697 (CA)

Record details

NPI number1851642193
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Maydeck — Chief Executive Officer · (909) 593-2581
Other names Leroy Haynes Center
NPI enumeratedSeptember 26, 2012
Last updated in NPPESAugust 15, 2016
Mailing address1025 Sentinel Dr, Suites 200 & 206, La Verne, CA 91750-3280

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