# YOUTH SERVICES INTERNATIONAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Forest Ridge Youth Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669531000
- **Authorized official:** MRS. JENNIFER SIEVERT (FACILITY ADMINISTRATOR)
- **Authorized official phone:** (712) 867-4724

## Contact information

- **Practice address:** 4502 230TH ST, WALLINGFORD, IA 51365-7539
- **Practice address phone:** (712) 867-4724
- **Practice address fax:** (712) 867-4505
- **Mailing address:** 4502 230TH ST, WALLINGFORD, IA 51365-7539
- **Mailing address phone:** (712) 867-4724
- **Mailing address fax:** (712) 867-4505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | IA | Yes |

## Other

- **Enumeration date:** 12/08/2006
- **Last updated:** 08/22/2020