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Organization
UNITED METHODIST YOUTHVILLE INC
Active
Organization
UNITED METHODIST YOUTHVILLE INC
Active
Parent organization
UNITED METHODIST YOUTHVILLE INC
Other names
Youthville
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNITED METHODIST YOUTHVILLE INC
Authorized official
MR. TOYIA A BULLA (CHIEF FINANCIAL OFFICER)
31645299100
Entity
Organization
Contact information
Practice address
900 W BROADWAY ST, NEWTON, KS 67114-2037
(316) 283-1950
(316) 283-9540
Mailing address
4505 E 47TH ST S, WICHITA, KS 67210-1651
(316) 529-9100
(316) 529-9351
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
0015391-001
KS
251B00000X
Case Management Agency
771-1
KS
323P00000X
Psychiatric Residential Treatment Facility
Primary
0015391009
KS
Other
Enumeration date
03/19/2007
Last updated
02/17/2011
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