| NPI | 1295554996 |
|---|---|
| Former Legal Business Name | WASHINGTON COUNTY YOUTH SERVICE BUREAU BOYS & GIRLS CLUB |
| Entity Type | Organization |
| Authorized Contact | FAVOR ELLIS Executive Director 802-229-9151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2024-10-09 |