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Youth Academy, Llc
Emotionally Disturbed Childrens' Residential Treatment Facility in Fairmont, West Virginia
NPI 1750508040

Youth Academy, Llc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Fairmont, WV. Youth Academy, Llc practices in Fairmont, WV. The NPI Number for Youth Academy, Llc is 1750508040 and holds a License No. (West Virginia).

The current practice location address for Youth Academy, Llc is 3 Crosswinds Dr, Fairmont, WV and can be reached out via phone at 304-363-3341 and via fax at 304-363-3342. You can also correspond with Youth Academy, Llc through the mailing address at 3 CROSSWINDS DR, FAIRMONT, WV - 26554-9193 (mailing address contact number: 304-363-3341).

Location: 3 Crosswinds Dr, Fairmont, WV, 26554-9193
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750508040
Provider Name
Youth Academy, Llc
Credential
Provider Entity Type
Organization
Address
3 Crosswinds Dr, Fairmont, WV, 26554-9193
Phone Number
304-363-3341
Fax Number
304-363-3342
Provider Enumeration Date
04/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9305001000 05 WV
institution
Provider Business Practice Location Address Details
Address
3 Crosswinds Dr
City
Fairmont
State
West Virginia
Zip
26554-9193
Phone Number
304-363-3341
Fax Number
304-363-3342
person
Provider Business Mailing Address Details
Address
3 Crosswinds Dr
City
Fairmont
State
West Virginia
Zip
26554-9193
Phone Number
304-363-3341
Fax Number
304-363-3342
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
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Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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