| Organization Name: | FRED FINCH YOUTH CENTER |
| NPI Number: | 1306157771 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TOM ALEXANDER (PRESIDENT AND CEO) |
| Mailing Address: | 3845 Spring Dr Spring Valley |
| State: | CA US |
| Postal Code: | 919771030 |
| Phone Number: | 6197971090 |
| Fax Number: | 6197971091 |
| NPI Enumeration Date: | 06/30/2010 |
| NPI Last Update Date: | 08/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |