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General NPI Number Information
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NPI Number | 1144593088
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Entity Type | Organization
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Legal Business Name | THE CENTER FOR YOUTH AND FAMILY SOLUTIONS, INC
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Dates
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Enumeration Date | 02/22/2012
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 502 S MORRIS AVE
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City | BLOOMINGTON
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State | IL
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Zip | 61701
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Country | US
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Telephone | 309-820-7616
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Fax | 309-820-7657
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Provider Business Mailing Address
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Address Line | 502 S MORRIS AVE
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City | BLOOMINGTON
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State | IL
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Zip | 61701-4884
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Country | US
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Telephone | 309-820-7616
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Fax | 309-820-7657
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Authorized Official
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Title or Position | DIRECTOR OF THERAPEUTIC SERVICES
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Name | MR. STEPHANIE BARISCH
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Credential | LCPC
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Telephone | 309-323-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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