Provider Demographics
NPI:1689014243
Name:ATKINSON YOUTH SERVICES, INC.
Entity Type:Organization
Organization Name:ATKINSON YOUTH SERVICES, INC.
Other - Org Name:ATKINSON FAMILY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DEPUTY DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:A
Authorized Official - Last Name:CASTANEDA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:916-826-0507
Mailing Address - Street 1:PO BOX 2755
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95609-2755
Mailing Address - Country:US
Mailing Address - Phone:916-489-5316
Mailing Address - Fax:916-977-3797
Practice Address - Street 1:4718 ENGLE ROAD
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608
Practice Address - Country:US
Practice Address - Phone:916-489-5316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-27
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health