EGGLESTON SUBSTANCE ABUSE AND EDUCATION PROGRAM
NPI 1649517764
Substance Abuse Rehabilitation Facility in Irwindale, CA

Q: What is Eggleston Youth Centers, Inc.'s NPI number?

The NPI number for Eggleston Youth Centers, Inc. is 1649517764. It was assigned to this organization in the NPPES registry on January 9, 2013. The provider is doing business as Eggleston Substance Abuse And Education Program.

Q: What is Eggleston Youth Centers, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since January 09, 2013

13001 RAMONA BLVD STE E, IRWINDALE, CA 91706(626) 480-8107 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2018, Apr 25, 2018 (2 updates tracked since 2018).

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About Eggleston Substance Abuse And Education Program NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EGGLESTON SUBSTANCE ABUSE AND EDUCATION PROGRAM (NPI 1649517764) is a healthcare organization registered as a substance abuse rehabilitation facility in Irwindale, California and active in the NPI registry since January 2013. The organization lists Cassandra Elaine Gibson-judkins, Assistant Executive Director, as its authorized official.

NPPES Registry Identity

NPI1649517764

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameEGGLESTON YOUTH CENTERS, INC.

Location Address13001 RAMONA BLVD STE EIrwindale, CA 91706-3752

Mailing Address13001 Ramona Blvd., Suite EIrwindale, CA 91706 · (626) 627-6000 · Fax (626) 480-7688

Phone(626) 480-8107

Organization SubpartNo

Authorized OfficialCassandra Elaine Gibson-judkinsAssistant Executive Director · (626) 480-8107

Enumeration DateJanuary 9, 2013

Last NPPES UpdateJune 16, 20182 updates tracked since enumeration

✔ NPI 1649517764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

13001 RAMONA BLVD STE E, Irwindale, CA 91706

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Other Names 1

Doing Business AsEggleston Substance Abuse And Education Program

Other Identifiers 3

Other197427CA · Master Provider File No.

Other190716ANCA · Dept Of Alcohol And Drug Programs

Other7427CA · Drug Medi-cal Billing No.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MATTHEW STEPHEN WYSOCKI ASSOCIATE MFT

Marriage & Family Therapist