Provider Demographics
NPI:1912167099
Name:CHILD & FAMILY SERVICES OF YUMA, INC
Entity Type:Organization
Organization Name:CHILD & FAMILY SERVICES OF YUMA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-783-2427
Mailing Address - Street 1:257 S 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-2359
Mailing Address - Country:US
Mailing Address - Phone:928-783-0141
Mailing Address - Fax:928-783-0179
Practice Address - Street 1:251 S 3RD AVE
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-2254
Practice Address - Country:US
Practice Address - Phone:928-783-2427
Practice Address - Fax:928-783-0179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-12
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTC6323251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health