WILLIE YOUNG'S HOME FOR YOUNG MEN
NPI 1720757891
Residential Treatment Facility, Emotionally Disturbed Children in Bakersfield, CA
- Organization
- Residential Treatment Facility, Emotiona...
About WILLIE YOUNG'S HOME FOR YOUNG MEN
This page provides the complete NPI Profile along with additional information for Willie Young's Home For Young Men, a provider established in Bakersfield, California operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1720757891 assigned on September 2021. The practitioner's primary taxonomy code is 322D00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. Samuel Campbell Jr. (President/ Ceo)
- NPI
- 1720757891 Verify this NPI
- Provider Name
- WILLIE YOUNG'S HOME FOR YOUNG MEN
- Entity Type
- Organization
- Location Address
- 3012 PECANGROVE DR BAKERSFIELD, CA 93311
- Location Phone
- (310) 930-0199
- Mailing Address
- 9556 LANGDON AVE NORTH HILLS, CA 91343
- Mailing Phone
- (310) 930-0199
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-10-2021
- Last Update Date
- 09-10-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Emotionally Disturbed Children
- Taxonomy Code
- 322D00000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720757891, enumerated as an "organization" on September 10, 2021.
The provider is located at 3012 PECANGROVE DR BAKERSFIELD, CA 93311 and the phone number is (310) 930-0199.
Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.
