Provider Demographics
NPI:1841698818
Name:YOUTH AND FAMILIES FIRST
Entity type:Organization
Organization Name:YOUTH AND FAMILIES FIRST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KOURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:STAFFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-803-3902
Mailing Address - Street 1:5540 W GLENDALE AVE
Mailing Address - Street 2:STE. B106
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85301-2550
Mailing Address - Country:US
Mailing Address - Phone:623-435-6840
Mailing Address - Fax:
Practice Address - Street 1:1011 N CRAYCROFT RD
Practice Address - Street 2:STE. 306
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-7309
Practice Address - Country:US
Practice Address - Phone:520-326-1424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-08
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTC6629251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health