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Organization

WILLIE YOUNG'S HOME FOR YOUNG MEN

Active
Other names
Walt's Home for Young Men
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SAMUEL CAMPBELL JR. (PRESIDENT /DIRECTOR)
(310) 930-0199
Entity
Organization

Contact information

Practice address
4200 CRESCENT ROCK LN, BAKERSFIELD, CA 93311-2860
(661) 491-3402
(661) 491-3400
Mailing address
9556 LANGDON AVE, NORTH HILLS, CA 91343-2103
(310) 930-0199
(818) 475-1914

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary

Other

Enumeration date
01/14/2021
Last updated
01/14/2021
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