NPI | 1881999068 |
---|---|
Doing Business As | YOUTHWISE |
Entity Type | Organization |
Authorized Contact | DOMINIQUE JOY TIGERT Executive Director 605-641-3621 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Enumeration Date | 2011-01-19 |
Last Update Date | 2011-01-19 |