| Organization Name: | FAMILY AND YOUTH INTERVENTIONS, LLC |
| NPI Number: | 1164689238 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARGIE GILL (MANAGING MEMBER) |
| Mailing Address: | 1400 Buford Highway Suite R4 Sugar Hill |
| State: | GA US |
| Postal Code: | 305188777 |
| Phone Number: | 6788048823 |
| Fax Number: | 6788048827 |
| NPI Enumeration Date: | 05/16/2008 |
| NPI Last Update Date: | 06/03/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |