NPI 1669709515

Youth Interactive Prevention Services INC

Organisation Early Intervention Provider Agency Jerome, ID

Practice location

Address: 152 E Main St, Jerome, ID 83338-2333
Phone: (208) 324-6885

Authorised official

Name: Patrisha Marie Borresen
Title: Ceo
Phone: (208) 324-6885

Registered specialties (3)

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in Idaho →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X

Other Social Worker providers in Idaho →

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Registry record

NPI: 1669709515
Entity type: Organization
NPI issued: 13 Nov 2009
Record last updated: 13 Nov 2009

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.