Provider Demographics
NPI:1477601169
Name:CRAY YOUTH AND FAMILY SERVICES, INC
Entity Type:Organization
Organization Name:CRAY YOUTH AND FAMILY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:COPPER
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:724-654-5507
Mailing Address - Street 1:332 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16101-3624
Mailing Address - Country:US
Mailing Address - Phone:724-654-5507
Mailing Address - Fax:724-654-5546
Practice Address - Street 1:332 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101-3624
Practice Address - Country:US
Practice Address - Phone:724-654-5507
Practice Address - Fax:724-654-5546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health