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Contact Information

ELEVATE YOUTH SERVICES INCORPORATED
652 GRANGER RD STE 2
BARRE, VT05641-5363
 Phone: 802-229-9151
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
Indicates primary specialty

NPI Profile & details for ELEVATE YOUTH SERVICES INCORPORATED

NPI # 1306287651
LBN Legal business name ELEVATE YOUTH SERVICES INCORPORATED
Authorized official FAVOR ELLIS - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/16/2013
Last updated 11/25/2024 - More than a year ago
Identifiers
VT Medicaid 1004380
VT Medicaid 1010291
VT Medicaid 1010292
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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