Healthcare Provider Details

I. General information

NPI: 1295672038
Provider Name (Legal Business Name): WARRIOR FOR CHILDREN, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1523 HOWARD ACCESS RD STE A
UPLAND CA
91786-2582
US

IV. Provider business mailing address

1523 HOWARD ACCESS RD STE A
UPLAND CA
91786-2582
US

V. Phone/Fax

Practice location:
  • Phone: 909-331-7914
  • Fax:
Mailing address:
  • Phone: 909-931-9499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER CORBETT
Title or Position: EXECUTIVE DIRECTOR
Credential: BSN,RN, LNC
Phone: 909-931-9499