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General NPI Number Information
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NPI Number | 1245169291
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Entity Type | Organization
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Legal Business Name | FIELDS COMP. YOUTH SERVICES INC.
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Dates
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Enumeration Date | 05/15/2026
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Last Update Date | 05/15/2026
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Provider Practice Location Address
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Address Line | 10013 DESMOND DRIVE
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City | OAK HILLS
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State | CA
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Zip | 92344-0937
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Country | US
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Telephone | 909-376-4148
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Fax | 909-987-1643
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Provider Business Mailing Address
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Address Line | 8780 19TH ST # 196
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City | ALTA LOMA
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State | CA
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Zip | 91701-4608
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Country | US
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Telephone | 909-322-6980
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Fax | 909-987-1643
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ARBY ENRICO FIELDS
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Credential |
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Telephone | 909-376-4148
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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