Youthville

NPI 1457562902 - Psychiatric Residential Treatment Facility - 323P00000X

NPI Details
NPI 1457562902
Enumeration Date 05/25/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name FRANK B FRANK
Position THERAPIST-COUNSELOR
Phone (620) 225-0276
Fax (620) 225-1854
Practice Location
11200 LARIAT WAY
DODGE CITY KS, 67801-7328, US
Phone (620) 225-0276
Fax (620) 225-1854
Business Location
900 W BROADWAY ST
NEWTON KS, 67114-2037, US
Phone (316) 283-1950
Fax (316) 283-9540
Toxanomy
Taxonomy Code 323P00000X
License State Kansas
License Number 850
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According to our database, Youthville NPI is 1457562902, taxonomy code is 323P00000X and license number is 850, license state is located at Kansas. Youthville physically located at 11200 Lariat Way, Dodge City KS, 67801-7328. NPI Number 1033115704 has the healthcare provider type.

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1457562902 NPI number is provided on an as is basis without warranty of any kind. 1457562902 is maintained by the National Plan & Provider Enumeration System. The contents of Youthville are for informational purposes only.