Provider Demographics
NPI:1568078541
Name:CHILD YOUTH & FAMILY INTERVENTION SERVICES, INC.
Entity Type:Organization
Organization Name:CHILD YOUTH & FAMILY INTERVENTION SERVICES, INC.
Other - Org Name:CHILD & YOUTH FAMILY INTERVENTION SERVICES, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/ DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:561-779-0976
Mailing Address - Street 1:1106 4TH ST
Mailing Address - Street 2:
Mailing Address - City:LAKE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33403-2637
Mailing Address - Country:US
Mailing Address - Phone:561-779-0976
Mailing Address - Fax:
Practice Address - Street 1:1106 4TH ST
Practice Address - Street 2:
Practice Address - City:LAKE PARK
Practice Address - State:FL
Practice Address - Zip Code:33403-2637
Practice Address - Country:US
Practice Address - Phone:561-779-0976
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHILD YOUTH & FAMILY INTERVENTION SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-09-16
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No251300000XAgenciesLocal Education Agency (LEA)Group - Multi-Specialty
No251B00000XAgenciesCase Management
No252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty