Organization · Type 2 NPI

Centers for Youth and Families

Emotionally Disturbed Childrens' Residential Treatment Facility · Little Rock, AR

NPI number 1649458514 Active

Practice location

6501 W 12th St
Little Rock, AR 72204-1511

Call (501) 666-8686 Map

Fax (501) 660-6832

Mailing address

PO Box 251970
Little Rock, AR 72225-1970

Specialties and licenses

Taxonomy	Code	License
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	None listed

Emotionally Disturbed Childrens' Residential Treatment Facility: 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.

312 other providers at this address

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NPI record

NPI: 1649458514
Entity type: Organization (Type 2)
Issued: Feb 4, 2008
Last updated: Feb 4, 2008
Status: Active
Subpart: Yes of Centers for Youth and Families

Other names

<unavail>
Elizabeth Mitchell Adolescent Center · other name

Authorized official

Mrs. Barbara McCrory, CPA
Chief Financial Officer
(501) 666-8686

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1649458514

Centers for Youth and Families's National Provider Identifier is 1649458514, issued on Feb 4, 2008. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Little Rock, AR. The record was last updated on Feb 4, 2008.