Young Visionaries Youth Leadership Academy
NPI #1831329275 in San Bernardino, California
Provider Information
- NPI Number
- 1831329275
- Entity Type
- Organization
- Organization Name
- Young Visionaries Youth Leadership Academy
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jul 20, 2009
- Last Updated
- Jul 20, 2009
Practice Location
- Address
- 1616 N D ST
- City
- San Bernardino
- State
- California
- ZIP Code
- 92405-4404
- Phone
- (909) 881-3332
Authorized Official
- Name
- MR. TERRANCE STONE
- Title
- CEO
- Phone
- (909) 881-3382
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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