| NPI | 1962806158 |
|---|---|
| Doing Business As | FOREST RIDGE YOUTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | BILL DEAN Vice President Of Operations 515-795-2267 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2014-10-16 |
| Last Update Date | 2014-10-16 |