Organization
WILLIE YOUNG'S HOME FOR YOUNG MEN
Active
Other names
Walt's Home for Young Men 2
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL CAMPBELL JR. (PRESIDENT/ CEO)
(310) 930-0199
Entity
Organization
Contact information
Practice address
3012 PECANGROVE DR, BAKERSFIELD, CA 93311-2331
(310) 930-0199
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
—
—
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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