Provider Demographics
NPI:1902101447
Name:YOUTH SOCIAL EDUCATIONAL TRAINING, INC.
Entity Type:Organization
Organization Name:YOUTH SOCIAL EDUCATIONAL TRAINING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:MAED
Authorized Official - Phone:413-348-1688
Mailing Address - Street 1:57 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01105-3071
Mailing Address - Country:US
Mailing Address - Phone:413-348-1688
Mailing Address - Fax:
Practice Address - Street 1:57 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01105-3071
Practice Address - Country:US
Practice Address - Phone:413-348-1688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)