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East Valley Charlee, Inc.

NPI Registration Record

Provider / OrganizationNPIDate Certified
EAST VALLEY CHARLEE, INC.15286415112021-04-28

The organization East Valley Charlee, Inc. is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1528641511. Registration indicates East Valley Charlee, Inc. is a provider of access to mental health/behavioral health/substance use disorder facility services with a specialization in Residential Treatment Facilities, Residential Treatment Facility, Emotionally Disturbed Children Access to Hospital by Licensure Type-Mental Health & Substance Abuse (Residential Treatment Facilities, Residential Treatment Facility) (Residential Treatment Facilities, Residential Treatment Facility, Emotionally Disturbed Children) (Residential Treatment Facility, Emotionally Disturbed Children, ) (Residential Treatment Facility, Emotionally Disturbed Children, Residential Treatment Facilities)

Other Names:
Entity TypeOrganization
Provider OrganizationEAST VALLEY CHARLEE, INC.
Practice Office Address35895 SANTA MARIA ST
YUCAIPA, CA US
Practice Office Telephone9093075777
Practice Office Fax9093075776
Mailing Address440 CAJON ST
REDLANDS, CA 923735955 US
Business Telephone9093075777
Business Fax9093075776
Authorized OfficialRICKY CHALI, FACILITATOR
9093075777
Offices / Locations
AddressCity / StatePhone / Fax
12820 Grant St Yucaipa, CA 923994950 9093075777 / 9093075776
HPT Codes
CodePractice
License No
State
322D00000X PRIMARYAccess to Mental Health/Behavioral Health/Substance Use Disorder Facility
Residential Treatment Facilities
Residential Treatment Facility, Emotionally Disturbed ChildrenAccess to Hospital by Licensure Type-Mental Health & Substance Abuse
Residential Treatment Facilities
Residential Treatment Facility
Residential Treatment Facilities
Residential Treatment Facility, Emotionally Disturbed Children
Residential Treatment Facility, Emotionally Disturbed Children

Residential Treatment Facility, Emotionally Disturbed Children
Residential Treatment Facilities
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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