NPI | 1164642229 |
---|---|
Doing Business As | YOUTHVILLE |
Entity Type | Organization |
Authorized Contact | DANY RAY MONARES Provider Relations Manager 316-283-1950 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS 597) |
Enumeration Date | 2007-04-30 |
Last Update Date | 2020-08-22 |