Provider Demographics
NPI:1376818245
Name:THE CENTER FOR YOUTH & FAMILY SOLUTIONS, INC
Entity Type:Organization
Organization Name:THE CENTER FOR YOUTH & FAMILY SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:RIORDAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:309-323-6600
Mailing Address - Street 1:123 S MCARTHUR ST
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:IL
Mailing Address - Zip Code:61455-2140
Mailing Address - Country:US
Mailing Address - Phone:309-833-1791
Mailing Address - Fax:309-836-1462
Practice Address - Street 1:123 S MCARTHUR ST
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:IL
Practice Address - Zip Code:61455-2140
Practice Address - Country:US
Practice Address - Phone:309-833-1791
Practice Address - Fax:309-836-1462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-12
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL512961253J00000X
261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)