| NPI | 1194252932 |
|---|---|
| Doing Business As | YOUTH INTENSIVE SERVICES |
| Entity Type | Organization |
| Authorized Contact | DESIRAE THOMPSON Chief Operating Officer 330-318-3436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2020-12-16 |