Organization
WOODWARD YOUTH CORPORATION
Active
Parent organization
SEQUEL YOUTH AND FAMILY SERVICES, LLC
Other names
Forest Ridge Youth Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
SEQUEL YOUTH AND FAMILY SERVICES, LLC
Authorized official
MR. BILL DEAN (VICE PRESIDENT OF OPERATIONS)
(515) 795-2267
Entity
Organization
Contact information
Practice address
1251 334TH ST, WOODWARD, IA 50276-7509
(515) 795-2267
Mailing address
1251 334TH ST, WOODWARD, IA 50276-7509
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1140012
—
IA
Enumeration date
10/16/2014
Last updated
10/16/2014
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