Organization
ELEVATE YOUTH SERVICES INCORPORATED
Active
Other names
WASHINGTON COUNTY YOUTH SERVICE BUREAU BOYS & GIRLS CLUB
Organization subpart
No
Provider details
NPI number
Authorized official
FAVOR ELLIS (EXECUTIVE DIRECTOR)
(802) 229-9151
Entity
Organization
Contact information
Practice address
652 GRANGER RD STE 2, BARRE, VT 05641-5363
(802) 229-9151
(802) 229-2508
Mailing address
652 GRANGER RD STE 2, BARRE, VT 05641-5363
(802) 229-9151
(802) 229-2508
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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