Healthcare Provider Details

I. General information

NPI: 1184198533
Provider Name (Legal Business Name): CYFS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2019
Last Update Date: 01/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

148 S HIGHWAY 67
CEDAR HILL TX
75104-2701
US

IV. Provider business mailing address

4654 E AVENUE S # 173
PALMDALE CA
93552-4454
US

V. Phone/Fax

Practice location:
  • Phone: 877-824-5439
  • Fax:
Mailing address:
  • Phone: 877-824-5439
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MR. WARREN BATISTE
Title or Position: PRESIDENT/DIRECTOR
Credential:
Phone: 818-738-6331