Organization
SEVEN FOLDS
Active
Other names
NA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN WALTER WEBSTER NA (CENTER DIRECTOR)
(661) 631-8415
Entity
Organization
Contact information
Practice address
201 4TH ST STE 702, BAKERSFIELD, CA 93304-2346
(661) 631-8415
(661) 326-1602
Mailing address
201 4TH ST STE 702, BAKERSFIELD, CA 93304-2346
(661) 631-8415
(661) 326-1602
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
150040AN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1562
MED-CAL
CA
Enumeration date
10/18/2007
Last updated
10/18/2007
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