# BAYFRONT YOUTH AND FAMILY SERVICES - RESIDENTIAL TREATMENT PROGRAM

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

## Provider details

- **NPI number:** 1619233707
- **Authorized official:** MEL HERST LMFT (HEAD OF SERVICES)
- **Authorized official phone:** (562) 719-9250

## Contact information

- **Practice address:** 4151 FOUNTAIN STREET, LONG BEACH, CA 90804-3023
- **Practice address phone:** (562) 719-9250
- **Mailing address:** 324 E BIXBY RD, LONG BEACH, CA 90807-3432
- **Mailing address phone:** (562) 595-8111

## Taxonomy

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

## Other

- **Enumeration date:** 04/03/2012
- **Last updated:** 12/16/2014