Organization
HEARTHSTONE COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES CHARLES DAMATO (EXECUTIVE DIRECTOR)
(661) 331-2075
Entity
Organization
Contact information
Practice address
721 BRUNDAGE LN, BAKERSFIELD, CA 93304-3101
(661) 861-0051
(661) 861-0053
Mailing address
721 BRUNDAGE LN, BAKERSFIELD, CA 93304-3101
(661) 861-0051
(661) 861-0053
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01813
LEGAL ENTITY NUMBER
CA
Enumeration date
10/11/2012
Last updated
10/11/2012
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