Community Outreach for Youth and Family Services of VA LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COMMUNITY OUTREACH FOR YOUTH AND FAMILY SERVICES OF VA LLC

Practice address

1514 Cleveland Ave Ste 120
East Point, GA 30344-6977

Phone

(919) 423-2277

NPI assigned

Sep 5, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Cory Tito Francis

Title

Ceo/Owner

Phone

(919) 423-2277

Specialties & licenses 1

Addresses

Other names 1

• American Family Care Network Doing business as

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1083015366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 CLEVELAND AVE STE 120",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303446977",
            "telephone_number": "919-423-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 CLEVELAND AVE STE 120",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303446977",
            "telephone_number": "919-423-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY OUTREACH FOR YOUTH AND FAMILY SERVICES OF VA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "TITO",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "919-423-2277",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Family Care Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in East Point, GA
• Providers in East Point, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.