| Youth Interactive Prevention Services Inc | |
|
152 E Main St Jerome ID 83338-2333 | |
| (208) 324-6885 | |
| Not Available |
| Full Name | Youth Interactive Prevention Services Inc |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 152 E Main St, Jerome, Idaho |
| Authorized Official Name and Position | Patrisha Marie Borresen (CEO) |
| Authorized Official Contact | 2083246885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Interactive Prevention Services Inc 152 E Main St Jerome ID 83338-2333 Ph: (208) 324-6885 | Youth Interactive Prevention Services Inc 152 E Main St Jerome ID 83338-2333 Ph: (208) 324-6885 |
| NPI Number | 1669709515 |
|---|---|
| Provider Enumeration Date | 11/13/2009 |
| Last Update Date | 11/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669709515 | NPI | - | NPPES |
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