# YOUTHVILLE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457562902
- **Authorized official:** MR. FRANK B SUMAYA MASTERS DEGREE (THERAPIST-COUNSELOR)
- **Authorized official phone:** (620) 225-0276

## Contact information

- **Practice address:** 11200 LARIAT WAY, DODGE CITY, KS 67801-7328
- **Practice address phone:** (620) 225-0276
- **Practice address fax:** (620) 225-1854
- **Mailing address:** 900 W BROADWAY ST, NEWTON, KS 67114-2037
- **Mailing address phone:** (316) 283-1950
- **Mailing address fax:** (316) 283-9540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | 850 | KS | Yes |

## Other

- **Enumeration date:** 05/25/2007
- **Last updated:** 08/22/2020