EXTRAORDINARY YOUTH PROGRAM INC.; NPI #1063158897

Contact Information

EXTRAORDINARY YOUTH PROGRAM INC.

251 LUNN BLVD
FARRELL, PA 16121-1536

Phone: 724-734-3892
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Respite Care, Intellectual and/or Developmental Disabilities	385HR2060X

Indicates primary specialty

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NPI Profile & details for EXTRAORDINARY YOUTH PROGRAM INC.

NPI #	`1063158897`
LBN Legal business name	EXTRAORDINARY YOUTH PROGRAM INC.
Authorized official	TIFFANY LORANCE-PORTER - (CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/05/2022
Last updated	05/05/2022 - About 4 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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EXTRAORDINARY YOUTH PROGRAM INC.

Contact Information

Specialty

Respite Care, Intellectual and/or Developmental Disabilities

NPI Profile & details for EXTRAORDINARY YOUTH PROGRAM INC.

Reviews for EXTRAORDINARY YOUTH PROGRAM INC.