| New Destiny Youth Facility, Inc | |
|
14 Claudia Autumn Dr Bakersfield CA 93314-4768 | |
| (661) 587-3194 | |
| (661) 587-6228 |
| Full Name | New Destiny Youth Facility, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 14 Claudia Autumn Dr, Bakersfield, California |
| Authorized Official Name and Position | Catherine Louise Powell (DIRECTOR) |
| Authorized Official Contact | 6613307357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Destiny Youth Facility, Inc 15508 Georges Letour Ave Bakersfield CA 93314-5334 Ph: (661) 330-7357 | New Destiny Youth Facility, Inc 14 Claudia Autumn Dr Bakersfield CA 93314-4768 Ph: (661) 587-3194 |
| NPI Number | 1508361684 |
|---|---|
| Provider Enumeration Date | 03/29/2018 |
| Last Update Date | 03/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508361684 | NPI | - | NPPES |
| NONE | Other | CA | NONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (California) | Primary |
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