OrganizationActive
Elevate Youth Services Incorporated
NPI 1508936238 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Barre, VT
Provider details
- NPI number
- 1508936238
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Favor Ellis, Executive Director
- License
- 000350 (VT)
Practice location
652 Granger Rd
Barre, VT 05641-5363
Phone: (802) 229-9151
Fax: (802) 229-2508
Mailing address
652 Granger Rd
Barre, VT 05641-5363
Registry dates
- Enumerated
- 2006-11-09
- Last updated
- 2024-11-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.