# FIELDS COMP. YOUTH SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346791803
- **Authorized official:** MR. ARBY ENRICO FIELDS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (909) 945-1318

## Contact information

- **Practice address:** 7062 NAPA AVE, ALTA LOMA, CA 91701-5431
- **Practice address phone:** (909) 466-8685
- **Practice address fax:** (909) 466-4815
- **Mailing address:** 8780 19TH ST, SUITE 196, ALTA LOMA, CA 91701-4608
- **Mailing address phone:** (909) 608-1991
- **Mailing address fax:** (909) 466-4815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 366402086 | CA | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 10/20/2016
- **Last updated:** 01/16/2020