Provider Demographics
NPI:1912229634
Name:YOUTH EMPOWERMENT AND FAMILY SERVICES
Entity Type:Organization
Organization Name:YOUTH EMPOWERMENT AND FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLIENT SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:LATASHA
Authorized Official - Middle Name:PATRICE
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-446-3388
Mailing Address - Street 1:112 CLARIDGE PL
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:SC
Mailing Address - Zip Code:29627-8293
Mailing Address - Country:US
Mailing Address - Phone:803-446-3388
Mailing Address - Fax:864-751-5747
Practice Address - Street 1:112 CLARIDGE PL
Practice Address - Street 2:
Practice Address - City:BELTON
Practice Address - State:SC
Practice Address - Zip Code:29627-8293
Practice Address - Country:US
Practice Address - Phone:803-446-3388
Practice Address - Fax:864-751-5747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-22
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No252Y00000XAgenciesEarly Intervention Provider Agency