Provider Demographics
NPI:1922674589
Name:EDEN YOUTH AND FAMILY CENTER
Entity Type:Organization
Organization Name:EDEN YOUTH AND FAMILY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:T
Authorized Official - Last Name:HALFON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-887-1146
Mailing Address - Street 1:680 W TENNYSON RD
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94544-5236
Mailing Address - Country:US
Mailing Address - Phone:510-887-1146
Mailing Address - Fax:
Practice Address - Street 1:680 W TENNYSON RD
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94544-5236
Practice Address - Country:US
Practice Address - Phone:510-887-1146
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-02
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health