Organization
FIELDS COMP. YOUTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARBY ENRICO FIELDS (EXECUTIVE DIRECTOR)
(909) 945-1318
Entity
Organization
Contact information
Practice address
1214 EDDINGTON ST, UPLAND, CA 91786-3440
(909) 608-1991
(909) 466-4815
Mailing address
8780 19TH ST, SUITE 196, ALTA LOMA, CA 91701-4608
(909) 945-1318
(909) 466-4815
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
366407025
CA
Other
Enumeration date
10/31/2016
Last updated
01/15/2020
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