Provider Demographics
NPI:1922373968
Name:THE CENTER FOR YOUTH & FAMILY SOLUTIONS, INC
Entity Type:Organization
Organization Name:THE CENTER FOR YOUTH & FAMILY SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHEIF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:RIORDAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:309-671-5700
Mailing Address - Street 1:603 N CENTER ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:61701-2981
Mailing Address - Country:US
Mailing Address - Phone:309-829-6307
Mailing Address - Fax:309-829-3254
Practice Address - Street 1:603 N CENTER ST
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IL
Practice Address - Zip Code:61701-2981
Practice Address - Country:US
Practice Address - Phone:309-829-6307
Practice Address - Fax:309-829-3254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-08
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL512961251V00000X
261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)