Provider Demographics
NPI:1568214369
Name:CYN'S PLAY PLACE
Entity Type:Organization
Organization Name:CYN'S PLAY PLACE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MBANGUE-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-580-3538
Mailing Address - Street 1:3824 ROSEMONT DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-5659
Mailing Address - Country:US
Mailing Address - Phone:770-580-3538
Mailing Address - Fax:
Practice Address - Street 1:3824 ROSEMONT DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-5659
Practice Address - Country:US
Practice Address - Phone:770-580-3538
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty