Provider Demographics
NPI:1710754122
Name:THE CENTER FOR YOUTH AND FAMILY SOLUTIONS, INC
Entity Type:Organization
Organization Name:THE CENTER FOR YOUTH AND FAMILY SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF THERAPEUTIC SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BARISCH
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:309-820-7616
Mailing Address - Street 1:1630 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62704-3682
Mailing Address - Country:US
Mailing Address - Phone:217-528-3694
Mailing Address - Fax:217-528-1580
Practice Address - Street 1:1630 S STATE ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62704-3682
Practice Address - Country:US
Practice Address - Phone:217-528-3694
Practice Address - Fax:217-528-1580
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE CENTER FOR YOUTH AND FAMILY SOLUTIONS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)