Provider Demographics
NPI:1427565530
Name:HUMANISTIC FOUNDATION INC.
Entity Type:Organization
Organization Name:HUMANISTIC FOUNDATION INC.
Other - Org Name:STOCKDALE BOYS CENTER II
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARCHELETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:MADISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-303-1675
Mailing Address - Street 1:5757 W CENTURY BLVD STE 303
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-6409
Mailing Address - Country:US
Mailing Address - Phone:323-290-2540
Mailing Address - Fax:323-299-2226
Practice Address - Street 1:7900 OKANAGAN CT
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-5323
Practice Address - Country:US
Practice Address - Phone:661-833-8335
Practice Address - Fax:661-833-8338
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HUMANISTIC FOUNDATION INCORPORATED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-01-10
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
191800491253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency