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Contact Information

COORDINATED YOUTH AND HUMAN SERVICES
2016 MADISON AVE
GRANITE CITY, IL62040-4657
 Phone: 618-876-2383
 Fax: 618-876-4952
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health

261QC1500X
 

Case Management

251B00000X
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for COORDINATED YOUTH AND HUMAN SERVICES

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
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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