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Samuel Campbell JR.
Emotionally Disturbed Childrens' Residential Treatment Facility in Bakersfield, California
NPI 1073128492

Samuel Campbell JR. is a Emotionally Disturbed Childrens' Residential Treatment Facility based in North Hills, CA. Samuel Campbell JR. practices in Bakersfield, CA. The NPI Number for Samuel Campbell JR. is 1073128492 and holds a License No. 157806092 (California).

The current practice location address for Samuel Campbell JR. is 4200 Crescent Rock Ln, Bakersfield, CA and can be reached out via phone at 310-930-0199 and via fax at 818-475-1914. You can also correspond with Samuel Campbell JR. through the mailing address at 9556 LANGDON AVE, NORTH HILLS, CA - 91343-2103 (mailing address contact number: 310-930-0199).

Location: 4200 Crescent Rock Ln, Bakersfield, CA, 91343-2103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073128492
Provider Name
Samuel Campbell JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
4200 Crescent Rock Ln, Bakersfield, CA, 91343-2103
Phone Number
310-930-0199
Fax Number
818-475-1914
Provider Enumeration Date
09/11/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4200 Crescent Rock Ln
City
Bakersfield
State
California
Zip
93311-2860
Phone Number
310-930-0199
Fax Number
818-475-1914
person
Provider Business Mailing Address Details
Address
4200 Crescent Rock Ln
City
Bakersfield
State
California
Zip
93311-2860
Phone Number
310-930-0199
Fax Number
818-475-1914
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
157806092 (California)
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.
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