Community Alliance for Youth and Familly Services

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

3179 Issued in AZ

Legal business name

COMMUNITY ALLIANCE FOR YOUTH AND FAMILLY SERVICES

Doing business as

Group Educational and Mentoring Services

Practice address

23568 N Oasis Blvd
Florence, AZ 85232-8068

Phone

(520) 723-1337

NPI assigned

Apr 13, 2009

Last updated

Apr 13, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Shermaine Noel Fort, B.S.

Title

Administrator

Phone

(480) 703-4143

Specialties & licenses 1

Addresses

Other names 1

• Group Educational and Mentoring Services Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1003059585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23568 N OASIS BLVD",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "852328068",
            "telephone_number": "520-723-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23568 N OASIS BLVD",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "852328068",
            "telephone_number": "520-723-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ALLIANCE FOR YOUTH AND FAMILLY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-13",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "FORT",
        "authorized_official_first_name": "SHERMAINE",
        "authorized_official_middle_name": "NOEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-703-4143",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AZ",
            "license": "3179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Group Educational and Mentoring Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Florence, AZ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.