Provider Demographics
NPI:1821496852
Name:AFFIRMING YOUTH FOUNDATION, INC.
Entity Type:Organization
Organization Name:AFFIRMING YOUTH FOUNDATION, INC.
Other - Org Name:AFFIRMING YOUTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SPIKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-772-8270
Mailing Address - Street 1:PO BOX 380861
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33238-0861
Mailing Address - Country:US
Mailing Address - Phone:305-230-4598
Mailing Address - Fax:305-230-4626
Practice Address - Street 1:150 NW 79 STREET
Practice Address - Street 2:SUITE 342
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33150
Practice Address - Country:US
Practice Address - Phone:305-230-4598
Practice Address - Fax:305-230-4626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-08
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable