Healthcare Provider Details

I. General information

NPI: 1316125313
Provider Name (Legal Business Name): CENTERS FOR YOUTH & FAMILIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2008
Last Update Date: 08/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W. 20TH
NORTH LITTLE ROCK AR
72114
US

IV. Provider business mailing address

P.O. BOX 251970
LITTLE ROCK AR
72225
US

V. Phone/Fax

Practice location:
  • Phone: 501-374-3686
  • Fax: 501-974-3623
Mailing address:
  • Phone: 501-666-8686
  • Fax: 501-660-6830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. BARBARA MCCRORY
Title or Position: CFO
Credential: CPA
Phone: 501-666-8686