| Organization Name: | THE CAROLYN E.WYLIE CENTER FOR CHILDREN, YOUTH & FAMILIES |
| NPI Number: | 1831377506 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAMELA G. JORDAN (CEO) |
| Mailing Address: | 4164 Brockton Ave Riverside |
| State: | CA US |
| Postal Code: | 925013400 |
| Phone Number: | 9516835193 |
| Fax Number: | 9516836019 |
| NPI Enumeration Date: | 02/05/2008 |
| NPI Last Update Date: | 02/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251300000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Local Education Agency (LEA) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 |