YOUTHVILLE
Organization (NPI-2)
Active
Psychiatric Residential Treatment Facility
Provider Information
- NPI Number
1457562902- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 11200 LARIAT WAY, DODGE CITY, KS, 678017328
- Phone
- (620) 225-0276
- Fax
- (620) 225-1854
Specialties & Taxonomies
Psychiatric Residential Treatment Facility
Primary License: KS #850