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Organization
EXTRAORDINARY YOUTH PROGRAM INC.
Active
Organization
EXTRAORDINARY YOUTH PROGRAM INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY JOY LORANCE-PORTER M.ED (CEO)
(724) 734-3892
Entity
Organization
Contact information
Practice address
251 LUNN BLVD, FARRELL, PA 16121-1536
(724) 734-3892
Mailing address
251 LUNN BLVD, FARRELL, PA 16121-1536
(724) 734-3892
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
NULL
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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