# C.Y.B. INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114229994
- **Authorized official:** MS. MALISHAS C MINCEY (OWNER)
- **Authorized official phone:** (407) 928-1424

## Contact information

- **Practice address:** 525 E GOTTSCHE AVE, EUSTIS, FL 32726-3607
- **Practice address phone:** (352) 357-3625
- **Mailing address:** 525 E GOTTSCHE AVE, EUSTIS, FL 32726-3607
- **Mailing address phone:** (352) 357-3625

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 688505596 | FL | Yes |

## Other

- **Enumeration date:** 11/29/2010
- **Last updated:** 11/29/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 688505596 | PROVIDER NUMBER | FL |