Youth Interactive Prevention Services INC

NPI #1669709515 in Jerome, Idaho

Provider Information

NPI Number
1669709515
Entity Type
Organization
Organization Name
Youth Interactive Prevention Services INC
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Nov 13, 2009
Last Updated
Nov 13, 2009

Practice Location

Address
152 E MAIN ST
City
Jerome
State
Idaho
ZIP Code
83338-2333
Phone
(208) 324-6885

Authorized Official

Name
MRS. PATRISHA MARIE BORRESEN
Title
CEO
Phone
(208) 324-6885

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical
Community/Behavioral Health
Early Intervention Provider Agency

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