NPI 1063158897
Extraordinary Youth Program INC.
Practice location
- Address
- 251 Lunn Blvd, Farrell, PA 16121-1536
- Phone
- (724) 734-3892
Authorised official
- Name
- Tiffany Joy Lorance-Porter
- Title
- Ceo
- Phone
- (724) 734-3892
Registered specialties
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
Registry record
- NPI
- 1063158897
- Entity type
- Organization
- NPI issued
- 5 May 2022
- Record last updated
- 5 May 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.