Individual provider · Type 1 NPI
Samuel Campbell Jr.
Emotionally Disturbed Childrens' Residential Treatment Facility · Bakersfield, CA
Practice location
4200 Crescent Rock Ln
Bakersfield, CA 93311-2860
Fax (818) 475-1914
Mailing address
9556 Langdon Ave
North Hills, CA 91343-2103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | 157806092 (CA) |
Emotionally Disturbed Childrens' Residential Treatment Facility: 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.
3 other providers at this address
About NPI 1073128492
Samuel Campbell Jr.'s National Provider Identifier is 1073128492, issued on Sep 11, 2020. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Bakersfield, CA. The record was last updated on Sep 11, 2020.