| Organization Name: | FRED FINCH YOUTH CENTER |
| NPI Number: | 1922484674 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS N ALEXANDER (PRESIDENT AND CEO) |
| Mailing Address: | 351 Marina Rd Bay Point |
| State: | CA US |
| Postal Code: | 945651320 |
| Phone Number: | 9254583261 |
| Fax Number: | |
| NPI Enumeration Date: | 08/05/2015 |
| NPI Last Update Date: | 05/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |