Youthville in Dodge City - Psychiatric Residential Treatment Facility
Youthville - NPI 1457562902
Youthville is a Psychiatric Residential Treatment Facility in Dodge City, Kansas. Youthville practices all healthcare services and medical treatments related to Psychiatric Residential Treatment Facility. The NPI Number for Youthville is 1457562902. The last update date is 2020-08-22.
Youthville's current location address is 11200 Lariat Way, Dodge City, Kansas. You can contact this provider via phone number 6202250276 and fax number 6202251854. The mailing address for Youthville is 11200 Lariat Way, Dodge City, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Youthville |
|---|---|
| Address | 11200 Lariat Way, Dodge City, Kansas |
| Phone Number | 6202250276 |
| Fax Number | 6202251854 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | THERAPIST- |
|---|---|
| Authorized Official Name | Sumaya B Frank |
| Credentials | MASTERS DE |
| Telephone Number | 6202250276 |
NPI Number Detail
| NPI Number | 1457562902 |
|---|---|
| Provider Enumeration Date | 2007-05-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 11200 Lariat Way |
|---|---|
| City | Dodge City |
| State | Kansas (KS) |
| Post Code | 678017328 |
| Phone Number | 6202250276 |
| Fax Number | 6202251854 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric Residential Treatment Facility |
|---|---|
| Taxonomy | 323P00000X |
| Licence No | 850 |
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Definition: A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized ps |
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Post Comment/ Review Below
What is the Youthville's unique identification number?
The Youthville has been assigned the NPI (National Provider Identifier) Number 1457562902 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Youthville is physically located?
The Youthville is situated at the following address: 11200 Lariat Way, Dodge City, KS 678017328.
What is the Youthville's area of specialization and corresponding taxonomy classification?
The Youthville's specialty field is Psychiatric Residential Treatment Facility, and it falls under the taxonomy code 323P00000X, which categorizes healthcare providers based on their specialties.
On what date did Youthville receive its 1457562902 assignment from the Centers for Medicare & Medicaid Services?
The Youthville was assigned its 1457562902 on 2007-05-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Youthville most recently updated or revised?
The information pertaining to Youthville, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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