Alpha Connection Youth & Family Services

Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Apple Valley, CA

NPI 1225628829 · NPPES record last updated Jan 19, 2021

Key facts

NPI
1225628829
Entity type
Organization (NPI type 2)
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
Legal business name
ALPHA CONNECTION YOUTH & FAMILY SERVICES
Practice address
21398 Pine Ridge Ave
Apple Valley, CA 92307-3940
Phone
(760) 247-7930
Fax
(760) 247-8920
NPI assigned
Jan 19, 2021
Organization subpart
No

Authorized official

Name
Mr. Barron Wilson
Title
Ceo/Executive Director
Phone
(760) 247-7930

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Alpha Connection Youth Family Services (4 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Yes

Addresses

Primary practice location

21398 Pine Ridge Ave
Apple Valley, CA 92307-3940

Mailing address

22675 Anoka Rd
Apple Valley, CA 92308-5436
Phone (760) 247-7930

Other providers in Apple Valley, CA

All providers in Apple Valley, CA · Emotionally Disturbed Childrens' Residential Treatment Facility in California

Sources for this page

Verify at the official NPI Registry.