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Organization
NEW DESTINY YOUTH FACILITY, INC
Active
Organization
NEW DESTINY YOUTH FACILITY, INC
Active
Other names
New Destiny Youth Facility, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE LOUISE POWELL (DIRECTOR)
(661) 330-7357
Entity
Organization
Contact information
Practice address
14 CLAUDIA AUTUMN DR, BAKERSFIELD, CA 93314-4768
(661) 587-3194
(661) 587-6228
Mailing address
15508 GEORGES LETOUR AVE, BAKERSFIELD, CA 93314-5334
(661) 330-7357
(661) 587-9668
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
CA
Enumeration date
03/29/2018
Last updated
03/29/2018
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