NPI 1457562902
Youthville
Practice location
- Address
- 11200 Lariat Way, Dodge City, KS 67801-7328
- Phone
- (620) 225-0276
- Fax
- (620) 225-1854
- Mailing address
- 900 W Broadway St, Newton, KS 67114-2037
Authorised official
- Name
- Frank B Sumaya
- Title
- Therapist-Counselor
- Phone
- (620) 225-0276
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1457562902
- Entity type
- Organization
- NPI issued
- 25 May 2007
- Record last updated
- 22 Aug 2020
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.