Provider Demographics
NPI:1285214759
Name:ELITE FAMILY SYSTEMS - LESLIE HOME
Entity Type:Organization
Organization Name:ELITE FAMILY SYSTEMS - LESLIE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:SNEED
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:209-531-2088
Mailing Address - Street 1:PO BOX 490
Mailing Address - Street 2:
Mailing Address - City:CERES
Mailing Address - State:CA
Mailing Address - Zip Code:95307-0490
Mailing Address - Country:US
Mailing Address - Phone:209-531-2088
Mailing Address - Fax:209-538-7340
Practice Address - Street 1:2528 LESLIE LN
Practice Address - Street 2:
Practice Address - City:CERES
Practice Address - State:CA
Practice Address - Zip Code:95307-2326
Practice Address - Country:US
Practice Address - Phone:209-531-2088
Practice Address - Fax:209-538-7340
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ELITE FAMILY SYSTEMS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-09
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children