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YOUTH AND FAMILY RESOURCE SERVICES NPI 1245426238


NPI Profile

NPI: 1245426238
Provider Name: YOUTH AND FAMILY RESOURCE SERVICES

Doing Business As: FOREST RIDGE YOUTH SERVICES

Classification:Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization

CLIA Number: 16D2167137

Address:
200 6TH ST
GRUVER, IA
ZIP 51334
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Phone: (712) 362-5231

YOUTH AND FAMILY RESOURCE SERVICES is a residential treatment facility emotionally disturbed children in Gruver, IA. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. YOUTH AND FAMILY RESOURCE SERVICES NPI is 1245426238. The provider is registered as an organization entity type.
The provider Is Doing Business As Forest Ridge Youth Services.

The provider's business location address is:

200 6TH ST
GRUVER, IA
ZIP 51334-518
Phone: (712) 362-5231

The provider's authorized official is Jen Sievert .
The authorized official title is President and has the following contact phone number (712) 867-4724.

The CLIA number assigned to this NPI record is 16D2167137 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/24/2007 and was last updated on 9/24/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenIOWAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/9/2021

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