Provider Demographics
NPI:1942797709
Name:GRILEY, FOREMAN AND ASSOCIATES
Entity Type:Organization
Organization Name:GRILEY, FOREMAN AND ASSOCIATES
Other - Org Name:CYG BEHAVIORAL COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHARQUINTA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:GRILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-410-4451
Mailing Address - Street 1:4144 WHEATLEIGH CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89115-8228
Mailing Address - Country:US
Mailing Address - Phone:702-410-4451
Mailing Address - Fax:
Practice Address - Street 1:4144 WHEATLEIGH CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89115-8228
Practice Address - Country:US
Practice Address - Phone:702-410-4451
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-17
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No251S00000XAgenciesCommunity/Behavioral Health