# COORDINATED YOUTH AND HUMAN SERVICES

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

## Provider details

- **NPI number:** 1639581937
- **Authorized official:** MS. BOBBIE SMITH (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (618) 876-2383

## Contact information

- **Practice address:** 2016 MADISON AVE, GRANITE CITY, IL 62040-4657
- **Practice address phone:** (618) 876-2383
- **Practice address fax:** (618) 876-4952
- **Mailing address:** 2016 MADISON AVE, GRANITE CITY, IL 62040-4657
- **Mailing address phone:** (618) 876-2383
- **Mailing address fax:** (618) 876-4952

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/21/2014
- **Last updated:** 11/18/2021