NPI 1750508040

Youth Academy, LLC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Fairmont, WV

Practice location

Address: 3 Crosswinds Dr, Fairmont, WV 26554-9193
Phone: (304) 363-3341
Fax: (304) 363-3342

Authorised official

Name: Steven W. Fairley
Title: Executive Director
Phone: (304) 363-3341

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1750508040
Entity type: Organization
NPI issued: 19 Apr 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.