NPI 1275386021
Summit Youth Academy, INC
Practice location
- Address
- 330 W Main St, Emmett, ID 83617-3470
- Phone
- (208) 365-3642
- Fax
- (208) 365-3687
Authorised official
- Name
- Paul Clark Fear
- Title
- Owner/Administrator
- Phone
- (208) 365-3642
Registered specialties (3)
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Emotionally Disturbed Childrens' Residential Treatment Facility
Registry record
- NPI
- 1275386021
- Entity type
- Organization
- NPI issued
- 10 Apr 2024
- Record last updated
- 10 Apr 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.