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Contact Information

YOUTH INTERACTIVE PREVENTION SERVICES INC
152 E MAIN ST
JEROME, ID83338-2333
 Phone: 208-324-6885
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Early Intervention Provider Agency

252Y00000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for YOUTH INTERACTIVE PREVENTION SERVICES INC

NPI Number 1669709515
LBN Legal business name YOUTH INTERACTIVE PREVENTION SERVICES INC
Authorized official PATRISHA BORRESEN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/13/2009
Last updated 11/13/2009 - About 17 years ago
Identifiers n/a
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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