| NPI | 1245426238 |
|---|---|
| Doing Business As | FOREST RIDGE YOUTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | JEN SIEVERT President 712-867-4724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |