Organization Active NPI

Community Outreach for Youth & Family Services of Ga

  • Community/Behavioral Health Agency
  • East Point, GA
National Provider Identifier
1083892798
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY OUTREACH FOR YOUTH & FAMILY SERVICES OF GA
Practice address
1514 Cleveland Ave
Suite 120
East Point, GA 30344-6965
Phone
(919) 423-2277
NPI assigned
Feb 5, 2008
Last updated
Oct 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Authorized official

Name
Mr. Cory Tito FrancisNPI 1992533913
Title
Owner/Ceo
Phone
(919) 423-2277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1514 Cleveland Ave
Suite 120
East Point, GA 30344-6965

Mailing address

1514 Cleveland Ave
Suite 120
East Point, GA 30344-6965
Phone (919) 423-2277

National Provider Directory

National Provider Directory
Tax ID family
Community Outreach for Youth and Family Services of Ga LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1514 Cleveland Ave
Ste 120
East Point, GA 30344
Phone (404) 631-6383

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1083892798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 CLEVELAND AVE",
            "address_2": "SUITE 120",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303446965",
            "telephone_number": "919-423-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 CLEVELAND AVE",
            "address_2": "SUITE 120",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303446965",
            "telephone_number": "919-423-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY OUTREACH FOR YOUTH & FAMILY SERVICES OF GA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "TITO",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "919-423-2277",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.