Provider Demographics
NPI:1174898035
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:DIRECTOR OF THERAPEUTIC SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARISCH
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:309-323-6600
Mailing Address - Street 1:4703 44TH ST
Mailing Address - Street 2:STE 4
Mailing Address - City:ROCK ISLAND
Mailing Address - State:IL
Mailing Address - Zip Code:61201-7189
Mailing Address - Country:US
Mailing Address - Phone:309-786-0770
Mailing Address - Fax:309-786-3856
Practice Address - Street 1:4703 44TH ST
Practice Address - Street 2:STE 4
Practice Address - City:ROCK ISLAND
Practice Address - State:IL
Practice Address - Zip Code:61201-7189
Practice Address - Country:US
Practice Address - Phone:309-786-0770
Practice Address - Fax:309-786-3856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-12
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL512961253J00000X
261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No253J00000XAgenciesFoster Care Agency