Provider Demographics
NPI:1376783613
Name:YOUTH SERVICES SYSTEM, INC.
Entity Type:Organization
Organization Name:YOUTH SERVICES SYSTEM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-233-9627
Mailing Address - Street 1:1000 CHAPLINE ST
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-2902
Mailing Address - Country:US
Mailing Address - Phone:304-233-9627
Mailing Address - Fax:304-233-0056
Practice Address - Street 1:1000 CHAPLINE ST
Practice Address - Street 2:1A ORCHARD PARK RD.
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-2902
Practice Address - Country:US
Practice Address - Phone:304-233-9627
Practice Address - Fax:304-233-0056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-26
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV09GR003322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children