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WILLIE YOUNG'S HOME FOR YOUNG MEN
NPI 1548859556
Residential Treatment Facility, Emotionally Disturbed Children in Bakersfield, CA

Active since January 14, 2021
4200 CRESCENT ROCK LN, BAKERSFIELD, CA 93311(661) 491-3402(661) 491-3400 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Willie Young's Home For Young Men NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIE YOUNG'S HOME FOR YOUNG MEN (NPI 1548859556), doing business as Walt's Home For Young Men, is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Bakersfield, California and active in the NPI registry since January 2021. The organization lists Samuel Campbell, President /director, as its authorized official.

NPPES Registry Identity

NPI1548859556
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameWILLIE YOUNG'S HOME FOR YOUNG MEN
Location Address4200 CRESCENT ROCK LNBakersfield, CA 93311-2860
Mailing Address9556 Langdon AveNorth Hills, CA 91343-2103 · (310) 930-0199 · Fax (818) 475-1914
Phone(661) 491-3402
Fax(661) 491-3400
Organization SubpartNo
Authorized OfficialSamuel CampbellPresident /director · (310) 930-0199
Enumeration DateJanuary 14, 2021
NPPES CertifiedJanuary 14, 2021
✔ NPI 1548859556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
4200 CRESCENT ROCK LN, Bakersfield, CA 93311
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Other Names 1

Doing Business AsWalt's Home For Young Men

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMUEL CAMPBELL JR.
Residential Treatment Facility, Emotionally Disturbed Children
4200 CRESCENT ROCK LN
BAKERSFIELD, CA 93311
Kern County (310) 930-0199
RAVINDRA PEIRIS
Rehabilitation Practitioner
4200 CRESCENT ROCK LN
BAKERSFIELD, CA 93311
Kern County (661) 491-3402
TIFFANY EARNEST LCSW
Social Worker (Clinical)
4200 CRESCENT ROCK LN
BAKERSFIELD, CA 93311
Kern County (661) 491-3402

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willie Young's Home For Young Men's NPI number?

The NPI number for Willie Young's Home For Young Men is 1548859556. It was assigned to this organization in the NPPES registry on January 14, 2021. The provider is doing business as Walt's Home for Young Men.

Where is Willie Young's Home For Young Men located?

Willie Young's Home For Young Men is located at 4200 Crescent Rock Ln, Bakersfield, CA 93311. The listed phone number is (661) 491-3402.

What is Willie Young's Home For Young Men's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Willie Young's Home For Young Men was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.