Provider Demographics
NPI:1700236296
Name:YOUTH EDUCATION AND SOCIAL SERVICES
Entity Type:Organization
Organization Name:YOUTH EDUCATION AND SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCGLYNN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:480-688-8455
Mailing Address - Street 1:625 W SOUTHERN AVE # E-131
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-5030
Mailing Address - Country:US
Mailing Address - Phone:480-688-8455
Mailing Address - Fax:
Practice Address - Street 1:888 S 165TH LN
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-6013
Practice Address - Country:US
Practice Address - Phone:480-688-8455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-15
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness