Provider Demographics
NPI:1477757169
Name:YOUTH AND FAMILY ENRICHMENT CENTERS, INC
Entity Type:Organization
Organization Name:YOUTH AND FAMILY ENRICHMENT CENTERS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:CUMMING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-534-0414
Mailing Address - Street 1:PO BOX 7218
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75711-7218
Mailing Address - Country:US
Mailing Address - Phone:903-534-0414
Mailing Address - Fax:903-534-9920
Practice Address - Street 1:14023 STATE HIGHWAY 155 S
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-6635
Practice Address - Country:US
Practice Address - Phone:903-534-0414
Practice Address - Fax:903-534-9920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children