Youth Intensive Services | |
238 S Meridian Rd Youngstown OH 44509-2925 | |
(330) 318-3436 | |
(330) 319-8800 |
Full Name | Youth Intensive Services |
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Speciality | Community/behavioral Health |
Location | 238 S Meridian Rd, Youngstown, Ohio |
Authorized Official Name and Position | Dewayne Thompson (CEO, PRESIDENT) |
Authorized Official Contact | 3303183436 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Youth Intensive Services 238 S Meridian Rd Youngstown OH 44509-2925 Ph: (330) 318-3436 | Youth Intensive Services 238 S Meridian Rd Youngstown OH 44509-2925 Ph: (330) 318-3436 |
NPI Number | 1811312770 |
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Provider Enumeration Date | 02/28/2014 |
Last Update Date | 12/16/2020 |
Certification Date | 12/16/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811312770 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 13528 (Ohio) | Primary |
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