Chamberlain'S Youth Services
Residential Treatment Facility, Emotionally Disturbed Children in Hollister, CA. Organization (NPI-2).
NPI number1083010409
StatusActive
Last updated in NPPESMar 21, 2019
Details
- NPI
- 1083010409
- Entity type
- Organization (NPI-2)
- Legal business name
- Chamberlain'S Youth Services
- Organization subpart
- No
- Enumeration date
- Nov 12, 2014
- Last updated
- Mar 21, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 355201170 | CA | Yes |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | – | – |
Practice location
1850 San Benito StHollister, CA 95023-4899
Phone 831-636-2121 · Fax 831-636-5296
Mailing address
1850 San Benito StHollister, CA 95023-4899
Phone 831-636-2121 · Fax 831-636-5296
Authorized official
Melanie Marie Davis
Dir. Mental Health Services
8316362121
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