Organization
MELANIN YOUTH FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL MELESSIA SINGH (PRESIDENT)
(951) 712-5031
Entity
Organization
Contact information
Practice address
21550 LANE ST, PERRIS, CA 92570-8140
(951) 712-5031
Mailing address
19510 VAN BUREN BLVD., STE F3 PMB 152, RIVERSIDE, CA 92508-9458
(951) 712-5031
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
374J00000X
Doula
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013888106
—
CA
Enumeration date
09/13/2025
Last updated
09/16/2025
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