Provider Demographics
NPI:1245509173
Name:YOUNG FAMILIES EARLY HEAD START
Entity type:Organization
Organization Name:YOUNG FAMILIES EARLY HEAD START
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH & WELLNESS SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:JERI
Authorized Official - Middle Name:
Authorized Official - Last Name:CUELLAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-259-2007
Mailing Address - Street 1:1020 COOK AVE
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-5806
Mailing Address - Country:US
Mailing Address - Phone:406-259-2007
Mailing Address - Fax:406-259-4901
Practice Address - Street 1:1020 COOK AVE
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-5806
Practice Address - Country:US
Practice Address - Phone:406-259-2007
Practice Address - Fax:406-259-4901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-21
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty