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Organization
WILLIE YOUNG'S HOME FOR YOUNG MEN
Active
Organization
WILLIE YOUNG'S HOME FOR YOUNG MEN
Active
Other names
Walt's Home for Young Men
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL CAMPBELL JR. (PRESIDENT /DIRECTOR)
(310) 930-0199
Entity
Organization
Contact information
Practice address
4200 CRESCENT ROCK LN, BAKERSFIELD, CA 93311-2860
(661) 491-3402
(661) 491-3400
Mailing address
9556 LANGDON AVE, NORTH HILLS, CA 91343-2103
(310) 930-0199
(818) 475-1914
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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