| NPI | 1497879985 |
|---|---|
| Doing Business As | YOUTHVILLE |
| Entity Type | Organization |
| Authorized Contact | TOYIA A BULLA Chief Financial Officer 3164-529-9100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: KS 0015391009) |
| Additional Taxonomies | 251B00000X Case Management (Licence: KS 0015391-001) |
| 251B00000X Case Management (Licence: KS 771-1) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2011-02-17 |