Provider Demographics
NPI:1447544929
Name:YOUTH AND FAMILY SERVICES
Entity type:Organization
Organization Name:YOUTH AND FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:605-342-4195
Mailing Address - Street 1:P.O. BOX 2813
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57709-2813
Mailing Address - Country:US
Mailing Address - Phone:605-342-4195
Mailing Address - Fax:605-342-0693
Practice Address - Street 1:1920 PLAZA BLVD
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57709-2813
Practice Address - Country:US
Practice Address - Phone:605-342-4195
Practice Address - Fax:605-342-0693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-02
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable