<Unavail>
LBN: Boys Republic
<Unavail> is an health care organization with primary practice located at 733 N Garey Ave , Pomona CA 91767. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty.
Boys Republic can be contacted via phone (909) 622-3556, or through Dark, Bayley via phone (909) 536-6611.
Contact Information
Primary practice address
733 N Garey Ave
Pomona CA 91767
Phone: (909) 622-3556
Fax: (909) 306-5427
Website:
Authorized official contact:
Name: Dark, Bayley Licensed Clinical Social Worker (LCSW)
Phone: (909) 536-6611
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X |
Profile Details
| NPI number | 1215489000 |
|---|---|
| LBN Legal business name | Boys Republic |
| DBA Doing business as | <Unavail> |
| Authorized official | Dark, Bayley Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Oct 27th, 2016 |
| Last updated | Nov 30th, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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