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Organization
ALPHA CONNECTION YOUTH & FAMILY SERVICES
Active
Organization
ALPHA CONNECTION YOUTH & FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRON WILSON (PROGRAM DIRECTOR)
(760) 247-7930
Entity
Organization
Contact information
Practice address
20048 SHOSHONEE RD, APPLE VALLEY, CA 92307-7705
(760) 247-7930
(760) 247-8920
Mailing address
22675 ANOKA RD, APPLE VALLEY, CA 92308-5436
(760) 247-7930
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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