Provider Demographics
NPI:1922601897
Name:KERN BRIDGES YOUTH HOMES, INC.
Entity type:Organization
Organization Name:KERN BRIDGES YOUTH HOMES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:VANDERZWAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-396-2301
Mailing Address - Street 1:1321 STINE RD
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-4176
Mailing Address - Country:US
Mailing Address - Phone:661-396-2361
Mailing Address - Fax:661-396-2349
Practice Address - Street 1:4301 DE ETTE AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93313-2916
Practice Address - Country:US
Practice Address - Phone:661-827-9219
Practice Address - Fax:661-827-9221
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KERN BRIDGES YOUTH HOMES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-20
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children