Provider Demographics
NPI:1184134033
Name:GARCES RESIDENTIAL CARE SERVICES
Entity type:Organization
Organization Name:GARCES RESIDENTIAL CARE SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:GARCES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-376-6619
Mailing Address - Street 1:7349 MILLIKEN AVE
Mailing Address - Street 2:SUITE 140-223
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-7435
Mailing Address - Country:US
Mailing Address - Phone:909-646-9509
Mailing Address - Fax:909-646-9508
Practice Address - Street 1:2243 N MOUNTAIN AVE
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711-1586
Practice Address - Country:US
Practice Address - Phone:909-447-5346
Practice Address - Fax:909-624-3810
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GARCES RESIDENTIAL CARE SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-10-05
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No253J00000XAgenciesFoster Care Agency