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COMMUNITY ALLIANCE FOR YOUTH AND FAMILLY SERVICES NPI 1003059585


NPI Information

NPI: 1003059585
Provider Name: COMMUNITY ALLIANCE FOR YOUTH AND FAMILLY SERVICES

Doing Business As: GROUP EDUCATIONAL AND MENTORING SERVICES

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
23568 N OASIS BLVD
FLORENCE, AZ
ZIP 85232
Phone: (520) 723-1337
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COMMUNITY ALLIANCE FOR YOUTH AND FAMILLY SERVICES is a residential treatment facility emotionally disturbed children in Florence, AZ. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. COMMUNITY ALLIANCE FOR YOUTH AND FAMILLY SERVICES NPI is 1003059585. The provider is registered as an organization entity type.
The provider Is Doing Business As Group Educational And Mentoring Services.

The provider's business location address is:

23568 N OASIS BLVD
FLORENCE, AZ
ZIP 85232-068
Phone: (520) 723-1337

The provider's authorized official is Shermaine Noel Fort .
The authorized official title is Administrator and has the following contact phone number (480) 703-4143.

The enumeration date for this NPI number is 4/13/2009 and was last updated on 4/13/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children3179ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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