Organization
YOUTH SERVICES INTERNATIONAL, INC
Active
Other names
Forest Ridge Youth Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER SIEVERT (FACILITY ADMINISTRATOR)
(712) 867-4724
Entity
Organization
Contact information
Practice address
4502 230TH ST, WALLINGFORD, IA 51365-7539
(712) 867-4724
(712) 867-4505
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
12/08/2006
Last updated
08/22/2020
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