Fred Finch Youth Center in Spring Valley - Clinical

Fred Finch Youth Center - NPI 1043345077

Fred Finch Youth Center is a Clinical in Spring Valley, California. Fred Finch Youth Center practices all healthcare services and medical treatments related to Clinical. The NPI Number for Fred Finch Youth Center is 1043345077. The last update date is 2018-03-26.

Fred Finch Youth Center's current location address is 3845 Spring Dr, Spring Valley, California. You can contact this provider via phone number 6197971090 and fax number 6197971091. The mailing address for Fred Finch Youth Center is 3845 Spring Dr, Spring Valley, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Fred Finch Youth Center
Address 3845 Spring Dr, Spring Valley, California
Phone Number 6197971090
Fax Number 6197971091
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Alexander N Thomas
Credentials LCSW
Telephone Number 5104822244

NPI Number Detail

NPI Number 1043345077
Provider Enumeration Date 2007-02-22
Last Updated Date 2018-03-26

Provider Mailing Address Detail

Address 3845 Spring Dr
City Spring Valley
State California (CA)
Post Code 919771030
Phone Number 6197971090
Fax Number 6197971091

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
LEGAL ENTITY NU CA 113

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FAQs about Fred Finch Youth Center

What is the unique identifier code issued to Fred Finch Youth Center by the Centers for Medicare & Medicaid Services?

The Fred Finch Youth Center has been assigned the NPI (National Provider Identifier) 1043345077. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Fred Finch Youth Center is physically located?

The Fred Finch Youth Center is situated at the following address: 3845 Spring Dr, Spring Valley, CA 919771030.

What is Fred Finch Youth Center's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Fred Finch Youth Center is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.

On what date did Fred Finch Youth Center receive its 1043345077 assignment from the Centers for Medicare & Medicaid Services?

The Fred Finch Youth Center was assigned its 1043345077 on 2007-02-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Fred Finch Youth Center most recently updated?

The details pertaining to the Fred Finch Youth Center, including its address, specialty, and other relevant information, were last refreshed on 2018-03-26.

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