# YOUTH HEALTH SERVICE, INC.

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

## Provider details

- **NPI number:** 1124275300
- **Authorized official:** MARGY BURNS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (304) 636-9450

## Contact information

- **Practice address:** 971 HARRISON AVENUE, ELKINS, WV 26241
- **Practice address phone:** (304) 636-9450
- **Mailing address:** 971 HARRISON AVENUE, ELKINS, WV 26241

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 18352 | WV | Yes |

## Other

- **Enumeration date:** 08/19/2008
- **Last updated:** 08/19/2008