# ELEVATE YOUTH SERVICES INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WASHINGTON COUNTY YOUTH SERVICE BUREAU BOYS & GIRLS CLUB
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295554996
- **Authorized official:** FAVOR ELLIS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (802) 229-9151

## Contact information

- **Practice address:** 652 GRANGER RD STE 2, BARRE, VT 05641-5363
- **Practice address phone:** (802) 229-9151
- **Practice address fax:** (802) 229-2508
- **Mailing address:** 652 GRANGER RD STE 2, BARRE, VT 05641-5363
- **Mailing address phone:** (802) 229-9151
- **Mailing address fax:** (802) 229-2508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/09/2024
- **Last updated:** 10/09/2024