Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community Health |
261QC1500X | |||
Case Management |
251B00000X | |||
Primary Care |
261QP2300X |
| NPI Number | 1639581937 |
| LBN Legal business name | COORDINATED YOUTH AND HUMAN SERVICES |
| Authorized official | BOBBIE SMITH - (EXECUTIVE DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/21/2014 |
| Last updated | 11/18/2021 - About 5 years ago |
| Identifiers | n/a |
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