Healthcare Provider Details

I. General information

NPI: 1083532162
Provider Name (Legal Business Name): CENTERS FOR YOUTH AND FAMILIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 MEDICAL PLZ
MOUNTAIN HOME AR
72653-2919
US

IV. Provider business mailing address

PO BOX 251970
LITTLE ROCK AR
72225-1970
US

V. Phone/Fax

Practice location:
  • Phone: 501-666-8686
  • Fax: 501-280-0829
Mailing address:
  • Phone: 501-660-6849
  • Fax: 501-280-0829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: HEATHER L DURAN
Title or Position: DIRECTOR OF ADMISSIONS
Credential:
Phone: 501-660-6886