# UNITED METHODIST YOUTHVILLE INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNITED METHODIST YOUTHVILLE INC
- **Other names:** Youthville
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1497879985
- **Legal business name:** UNITED METHODIST YOUTHVILLE INC
- **Authorized official:** MR. TOYIA A BULLA (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** 31645299100

## Contact information

- **Practice address:** 900 W BROADWAY ST, NEWTON, KS 67114-2037
- **Practice address phone:** (316) 283-1950
- **Practice address fax:** (316) 283-9540
- **Mailing address:** 4505 E 47TH ST S, WICHITA, KS 67210-1651
- **Mailing address phone:** (316) 529-9100
- **Mailing address fax:** (316) 529-9351

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 0015391-001 | KS | — |
| 251B00000X | Case Management Agency | 771-1 | KS | — |
| 323P00000X | Psychiatric Residential Treatment Facility | 0015391009 | KS | Yes |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 02/17/2011