OrganizationActive
Youth Interactive Prevention Services Inc
NPI 1669709515 · Early Intervention Provider Agency · Jerome, ID
Provider details
- NPI number
- 1669709515
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Patrisha Borresen, Ceo(208) 324-6885
Specialties & taxonomies
Agencies
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Community/Behavioral Health Agency251S00000X
Agencies
Practice location
152 E Main St
Jerome, ID 83338-2333
Phone: (208) 324-6885
Approximate (ZIP-level) locationGet directions
Mailing address
152 E Main St
Jerome, ID 83338-2333
Registry dates
- Enumerated
- 2009-11-13
- Last updated
- 2009-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.