Whalio Doctors

NPI 1508936238

Elevate Youth Services Incorporated

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Barre, VT

Practice location

Address
652 Granger Rd, Barre, VT 05641-5363
Phone
(802) 229-9151
Fax
(802) 229-2508

Authorised official

Name
Favor Ellis
Title
Executive Director
Phone
(802) 229-9151

Registered specialties (4)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 000350 (VT)
Psychologist
Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 0470000720 (VT)
Clinical Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 0890000651 (VT)

Registry record

NPI
1508936238
Entity type
Organization
NPI issued
9 Nov 2006
Record last updated
26 Nov 2024

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.