Organization
YOUTHVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK B SUMAYA MASTERS DEGREE (THERAPIST-COUNSELOR)
(620) 225-0276
Entity
Organization
Contact information
Practice address
11200 LARIAT WAY, DODGE CITY, KS 67801-7328
(620) 225-0276
(620) 225-1854
Mailing address
900 W BROADWAY ST, NEWTON, KS 67114-2037
(316) 283-1950
(316) 283-9540
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
850
KS
Other
Enumeration date
05/25/2007
Last updated
08/22/2020
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