Youthville | |
900 W Broadway St Newton KS 67114-2037 | |
(316) 283-1950 | |
(316) 283-9540 |
Full Name | Youthville |
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Speciality | Community/behavioral Health |
Location | 900 W Broadway St, Newton, Kansas |
Authorized Official Name and Position | Dany Ray Monares (PROVIDER RELATIONS MANAGER) |
Authorized Official Contact | 3162831950 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Youthville 900 W Broadway St Newton KS 67114-2037 Ph: (316) 283-1950 | Youthville 900 W Broadway St Newton KS 67114-2037 Ph: (316) 283-1950 |
NPI Number | 1164642229 |
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Provider Enumeration Date | 04/30/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164642229 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 597 (Kansas) | Primary |
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