Provider Demographics
NPI:1891060752
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 1:2100 5TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:IL
Mailing Address - Zip Code:62656-9115
Mailing Address - Country:US
Mailing Address - Phone:217-732-5935
Mailing Address - Fax:217-735-1738
Practice Address - Street 1:2100 5TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:IL
Practice Address - Zip Code:62656-9115
Practice Address - Country:US
Practice Address - Phone:217-732-5935
Practice Address - Fax:217-735-1738
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