Organization · NPI-2

Inspire A Youth, INC

Residential Treatment Facility, Emotionally Disturbed Children · Riverside, CA

NPI number1922607944
StatusActive
Last updated in NPPESOct 21, 2020

Details

NPI
1922607944
Entity type
Organization (NPI-2)
Legal business name
Inspire A Youth, INC
Organization subpart
No
Enumeration date
Oct 21, 2020
Certification date
Oct 19, 2020
Last updated
Oct 21, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
322D00000X Residential Treatment Facility, Emotionally Disturbed Children––Yes

Practice location

7556 Avenida Baja
Riverside, CA 92509-3449

Phone 951-727-8385

Mailing address

12909 Boston Ave
Chino, CA 91710-5934

Authorized official

Latrese Nichole Armstrong
Executive Director
9097173125

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