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NPI Code Detail

MEDICARE: THE CENTER FOR YOUTH & FAMILY SOLUTIONS, INC

MEDICARE: THE CENTER FOR YOUTH & FAMILY SOLUTIONS, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253J00000XFoster Care Agency512961IL
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1891060752
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE CENTER FOR YOUTH & FAMILY SOLUTIONS, INC
Provider Business Mailing Address
First Line : 2100 5TH ST
Second Line :
City : LINCOLN
State : IL
Zip : 62656-9115
Country : US
Telephone Number : 217-732-5935
Fax Number : 217-735-1738
Provider Business Practice Location Address
First Line : 2100 5TH ST
Second Line :
City : LINCOLN
State : IL
Zip : 62656-9115
Country : US
Telephone Number : 217-732-5935
Fax Number : 217-735-1738
Authorized Official
Title or Position : DIRECTOR OF THERAPEUTIC SERVICES
Name : STEPHANIE BARISCH
Credential : LCPC
Telephone Number : 309-323-6600
Provider Enumeration Date : 03/12/2012
Last Update Date : 11/26/2024

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Directions to “THE CENTER FOR YOUTH & FAMILY SOLUTIONS, INC ” Practice Location

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