Provider Demographics
NPI:1710213566
Name:SWEENEY YOUTH HOMES, INC
Entity Type:Organization
Organization Name:SWEENEY YOUTH HOMES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:SWEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:805-563-0448
Mailing Address - Street 1:100 N HOPE AVE STE 14
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93110-2630
Mailing Address - Country:US
Mailing Address - Phone:805-563-0448
Mailing Address - Fax:805-563-0507
Practice Address - Street 1:100 N HOPE AVE STE 14
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93110-2630
Practice Address - Country:US
Practice Address - Phone:805-563-0448
Practice Address - Fax:805-563-0507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-29
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA425801303253J00000X
CA425801519253J00000X
CA425800165253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency