NPI 1295514149

Fields Comp. Youth Services INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility San Bernardino, CA

Practice location

Address: 2390 Portola St, San Bernardino, CA 92407-6930
Phone: (909) 376-4148
Mailing address: 8780 19th St # 196, Alta Loma, CA 91701-4608

Authorised official

Name: Arby Enrico Fields
Title: Executive Director
Phone: (909) 322-6980

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

Other Residential Treatment Facility, Emotionally Disturbed Children providers in California →

Registry record

NPI: 1295514149
Entity type: Organization
NPI issued: 28 Sep 2023
Record last updated: 28 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.