Basic Information
| Provider Information | |||||||||
| NPI: | 1497911242 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | YOUTH HOMES, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3480 BUSKIRK AVE | ||||||||
| Address2: | SUITE 210 | ||||||||
| City: | PLEASANT HILL | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945234341 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9459332627 | ||||||||
| FaxNumber: | 9459335824 | ||||||||
| Practice Location | |||||||||
| Address1: | 2730 LONE TREE WAY STE 1 | ||||||||
| Address2: | |||||||||
| City: | ANTIOCH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945094964 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9259332627 | ||||||||
| FaxNumber: | 9459335824 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/31/2008 | ||||||||
| LastUpdateDate: | 04/01/2019 | ||||||||
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| AuthorizedOfficialLastName: | ESPINO | ||||||||
| AuthorizedOfficialFirstName: | CANDY | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 9259332627 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | Y | Agencies | Community/Behavioral Health |
No ID Information.