NPI 1619117397
Youthville
Practice location
- Address
- 4505 E 47th St S, Wichita, KS 67210-1651
- Phone
- (316) 529-9100
- Fax
- (316) 529-9351
Authorised official
- Name
- Amy Rene Glendening
- Title
- Trauma Specialist
- Phone
- (316) 529-9100
Registered specialties
Foster Care Agency
Primary
Registry record
- NPI
- 1619117397
- Entity type
- Organization
- NPI issued
- 20 Feb 2009
- Record last updated
- 20 Feb 2009
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.