| Youth Service Bureau Of Jay County, Inc. | |
|
603 W Arch St Portland IN 47371-1318 | |
| (260) 726-8520 | |
| (260) 726-8535 |
| Full Name | Youth Service Bureau Of Jay County, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 603 W Arch St, Portland, Indiana |
| Authorized Official Name and Position | Reda Theurer-miller (CEO) |
| Authorized Official Contact | 2607268520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Service Bureau Of Jay County, Inc. 603 W Arch St Portland IN 47371-1318 Ph: (260) 726-8520 | Youth Service Bureau Of Jay County, Inc. 603 W Arch St Portland IN 47371-1318 Ph: (260) 726-8520 |
| NPI Number | 1134391907 |
|---|---|
| Provider Enumeration Date | 04/01/2008 |
| Last Update Date | 04/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134391907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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