Provider Demographics
NPI:1336738269
Name:CAYA
Entity Type:Organization
Organization Name:CAYA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:DAWSON
Authorized Official - Suffix:II
Authorized Official - Credentials:LCSW
Authorized Official - Phone:559-903-7942
Mailing Address - Street 1:7575 CHAUCER PL APT 2907
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237-3550
Mailing Address - Country:US
Mailing Address - Phone:559-903-7942
Mailing Address - Fax:
Practice Address - Street 1:621 N MAIN ST STE 430
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-9218
Practice Address - Country:US
Practice Address - Phone:214-945-9006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty