Individual
SAMUEL CAMPBELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4200 CRESCENT ROCK LN, BAKERSFIELD, CA 93311-2860
(310) 930-0199
(818) 475-1914
Mailing address
9556 LANGDON AVE, NORTH HILLS, CA 91343-2103
(310) 930-0199
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
157806092
CA
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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