CENTERS FOR YOUTH AND FAMILIES (NPI# 1841448966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841448966 |
| Entity Type | Organization |
| Organization Name | CENTERS FOR YOUTH AND FAMILIES |
| Other Organization Name | SOUTHEAST ARKANSAS RESIDENTIAL TREATMENT FACILITY |
| Practice Address |
936 Jordan Drive Monticell AR 71657 |
| Mailing Address |
Po Box 251970 Little Rock AR 72225-1970 |
| Practice Telephone | 8704600046 |
| Practice Fax Number | 8704600185 |
| Mailing Telephone | 5016668686 |
| Mailing Fax Number | 5016606830 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |
| Authorized Official Name | MRS. BARBARA MCCORY (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5016668686 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTERS FOR YOUTH AND FAMILIES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 167626125 | 05 |
| Other Name | Type Code |
|---|---|
| Southeast Arkansas Residential Treatment Facility | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811140551 | Centers for Youth and Families | Case Management | 1200 S Cleveland St, Little Rock, AR 72204-2509 | 2008-10-28 |
| 1740468040 | Centers for Youth and Families | Community/Behavioral Health | 7415 Asher Ave, Little Rock, AR 72204-7612 | 2008-02-08 |
| 1972756716 | Centers for Youth and Families | Case Management | 5800 W 10th St, Suite 101, Little Rock, AR 72204-1752 | 2008-10-24 |
| 1043488182 | Centers for Youth and Families | Community/Behavioral Health | 6601 W 12th St, Little Rock, AR 72204-1513 | 2008-02-12 |
| 1679751945 | Centers for Youth and Families | Community/Behavioral Health | 6425 W 12th St, Little Rock, AR 72204-1509 | 2008-02-08 |
| 1518145119 | Centers for Youth and Families | Case Management | 6501 W 12th St, Little Rock, AR 72204-1511 | 2008-02-06 |
| 1649458514 | Centers for Youth and Families | Residential Treatment Facility, Emotionally Disturbed Children | 6501 W 12th St, Little Rock, AR 72204-1511 | 2008-02-04 |
| 1427236439 | Centers for Youth and Families | Community/Behavioral Health | 5905 Forest Pl, Suite100, Little Rock, AR 72207-5244 | 2008-02-01 |
| Street Address |
936 JORDAN DRIVE |
| City | MONTICELL |
| State | AR |
| Zip Code | 71657 |
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508259169 | Teen Challenge Ranch of Northwest Arkansas | Residential Treatment Facility, Emotionally Disturbed Children | 16818 Hale Mountain Rd, Morrow, AR 72749-9731 | 2015-03-06 |
| 1407089873 | Faribi Mache Hill | Residential Treatment Facility, Emotionally Disturbed Children | 21815 I 30, Bryant, AR 72022-8031 | 2009-09-01 |
| 1912136144 | New Life Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 50 4th St, Oil Trough, AR 72564 | 2009-07-09 |
| 1326232240 | Youth Home Incorporated | Residential Treatment Facility, Emotionally Disturbed Children | 5109 W 23rd St, Little Rock, AR 72204-5101 | 2007-09-04 |
| 1275739062 | Delta Family Health and Fitness Center for Children, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 815 E Saint Louis St, Hamburg, AR 71646-2766 | 2007-06-27 |
| 1326116518 | United Methodist Children's Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2002 S Fillmore St, Little Rock, AR 72204-4909 | 2006-12-04 |
| 1568461887 | Ozark Guidance Center, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2400 S 48th St, Springdale, AR 72762-6683 | 2005-07-19 |
| 1437517844 | David Zajac | Residential Treatment Facility, Emotionally Disturbed Children | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2016-02-01 |
| 1104282235 | Cedric Mayo | Residential Treatment Facility, Emotionally Disturbed Children | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2016-01-05 |
| 1477928984 | Kelanda Williams | Residential Treatment Facility, Emotionally Disturbed Children | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2015-12-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CENTERS FOR YOUTH AND FAMILIES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.