Provider Demographics
NPI:1851413918
Name:YOUTH & FAMILY SERVICES, INC.
Entity Type:Organization
Organization Name:YOUTH & FAMILY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEE
Authorized Official - Middle Name:
Authorized Official - Last Name:BLOSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-262-6555
Mailing Address - Street 1:2404 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:EL RENO
Mailing Address - State:OK
Mailing Address - Zip Code:73036-2128
Mailing Address - Country:US
Mailing Address - Phone:405-262-6555
Mailing Address - Fax:405-262-6557
Practice Address - Street 1:301 ELM AVE STE 106
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-2669
Practice Address - Country:US
Practice Address - Phone:405-354-0846
Practice Address - Fax:405-354-0846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK261QM0801X251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health