Provider Demographics
NPI:1336367358
Name:NEW ADVANCES FOR PEOPLE WITH DISABILITIES
Entity Type:Organization
Organization Name:NEW ADVANCES FOR PEOPLE WITH DISABILITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIVISION DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SIMON
Authorized Official - Middle Name:
Authorized Official - Last Name:PRINS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:661-325-3003
Mailing Address - Street 1:2601 F ST
Mailing Address - Street 2:BAKERSFIELD
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-1815
Mailing Address - Country:US
Mailing Address - Phone:661-325-3003
Mailing Address - Fax:661-325-2344
Practice Address - Street 1:2601 F ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-5004
Practice Address - Country:US
Practice Address - Phone:661-325-3003
Practice Address - Fax:661-325-2344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2013-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA151558101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty