| 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 |