Organization
PRIME FIT YOUTH FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MOODY (CO-FOUNDER)
(316) 655-1636
Entity
Organization
Contact information
Practice address
7719 W 11TH ST N, WICHITA, KS 67212-3006
(316) 655-1636
Mailing address
7719 W 11TH ST N, WICHITA, KS 67212-3006
(316) 655-1636
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/10/2025
Last updated
04/01/2026
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