Provider Demographics
NPI:1902599822
Name:YOUTH QUEST INC.
Entity Type:Organization
Organization Name:YOUTH QUEST INC.
Other - Org Name:YOUTH QUEST INC. FOR GIRLS
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRON
Authorized Official - Suffix:
Authorized Official - Credentials:ACSW
Authorized Official - Phone:661-447-2561
Mailing Address - Street 1:8130 CHOATE ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93307-9484
Mailing Address - Country:US
Mailing Address - Phone:661-447-2561
Mailing Address - Fax:
Practice Address - Street 1:9310 COUSTEAU AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-9091
Practice Address - Country:US
Practice Address - Phone:661-447-2561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YOUTH QUEST INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-05-26
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children