Organization
YOUTH AND FAMILY RESOURCE SERVICES
Active
Other names
Forest Ridge Youth Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEN SIEVERT (PRESIDENT)
(712) 867-4724
Entity
Organization
Contact information
Practice address
200 6TH ST, GRUVER, IA 51334-8518
(712) 362-5231
Mailing address
4502 230TH ST, WALLINGFORD, IA 51365-7539
(712) 867-4724
(712) 867-4505
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
IA
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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