# WILLIE YOUNG'S HOME FOR YOUNG MEN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Walt's Home for Young Men
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548859556
- **Authorized official:** MR. SAMUEL CAMPBELL JR. (PRESIDENT /DIRECTOR)
- **Authorized official phone:** (310) 930-0199

## Contact information

- **Practice address:** 4200 CRESCENT ROCK LN, BAKERSFIELD, CA 93311-2860
- **Practice address phone:** (661) 491-3402
- **Practice address fax:** (661) 491-3400
- **Mailing address:** 9556 LANGDON AVE, NORTH HILLS, CA 91343-2103
- **Mailing address phone:** (310) 930-0199
- **Mailing address fax:** (818) 475-1914

## Taxonomy

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

## Other

- **Enumeration date:** 01/14/2021
- **Last updated:** 01/14/2021