WILLIE YOUNG'S HOME FOR YOUNG MEN NPI 1720757891

NPI Information

  • NPI: 1720757891
  • Provider Name: WILLIE YOUNG'S HOME FOR YOUNG MEN
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • Address: 3012 PECANGROVE DR
    BAKERSFIELD, CA
    ZIP 93311
  • Phone: (310) 930-0199

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NPI Details

WILLIE YOUNG'S HOME FOR YOUNG MEN is a residential treatment facility emotionally disturbed children in Bakersfield, CA. The provider is 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. WILLIE YOUNG'S HOME FOR YOUNG MEN NPI is 1720757891. The provider is registered as an organization entity type.

The provider's business location address is:

3012 PECANGROVE DR
BAKERSFIELD, CA
ZIP 93311-331
Phone: (310) 930-0199

The provider's authorized official is Samuel Campbell .
The authorized official title is President/ Ceo and has the following contact phone number (310) 930-0199.

The enumeration date for this NPI number is 9/10/2021 and was last updated on 9/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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