Provider Demographics
NPI:1578810909
Name:CHOSEN ONES YOUTH HOMES
Entity Type:Organization
Organization Name:CHOSEN ONES YOUTH HOMES
Other - Org Name:PATHFINDERS GUIDANCE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-829-5930
Mailing Address - Street 1:730 21ST ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-2913
Mailing Address - Country:US
Mailing Address - Phone:661-829-5930
Mailing Address - Fax:661-427-0386
Practice Address - Street 1:730 21ST ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-2913
Practice Address - Country:US
Practice Address - Phone:661-829-5930
Practice Address - Fax:661-427-0386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-03
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA150065AN251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management