Provider Demographics
NPI:1447229398
Name:FRIENDS OF CHILDREN, YOUTH AND FAMILIES, INC.
Entity Type:Organization
Organization Name:FRIENDS OF CHILDREN, YOUTH AND FAMILIES, INC.
Other - Org Name:FRIENDS OF CHILDREN, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MYLES
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:954-578-8399
Mailing Address - Street 1:3500 N STATE ROAD 7
Mailing Address - Street 2:SUITE 211
Mailing Address - City:LAUDERDALE LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33319-5600
Mailing Address - Country:US
Mailing Address - Phone:954-578-8399
Mailing Address - Fax:954-572-8231
Practice Address - Street 1:3500 N STATE ROAD 7
Practice Address - Street 2:SUITE 211
Practice Address - City:LAUDERDALE LAKES
Practice Address - State:FL
Practice Address - Zip Code:33319-5600
Practice Address - Country:US
Practice Address - Phone:954-578-8399
Practice Address - Fax:954-572-8231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL360336900Medicaid