# EXTRAORDINARY YOUTH PROGRAM INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063158897
- **Authorized official:** MRS. TIFFANY JOY LORANCE-PORTER M.ED (CEO)
- **Authorized official phone:** (724) 734-3892

## Contact information

- **Practice address:** 251 LUNN BLVD, FARRELL, PA 16121-1536
- **Practice address phone:** (724) 734-3892
- **Mailing address:** 251 LUNN BLVD, FARRELL, PA 16121-1536
- **Mailing address phone:** (724) 734-3892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 05/05/2022
- **Last updated:** 05/05/2022