Summit Youth Academy, Inc

LBN: Summit Youth Academy, Inc
Summit Youth Academy, Inc is an health care organization with primary practice located at 330 W Main St , Emmett ID 83617-3470. The organization recently has 3 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Summit Youth Academy, Inc can be contacted via phone (208) 365-3642, or through Fear, Paul Clark via phone (208) 365-3642.

Contact Information

Primary practice address
330 W Main St Emmett ID 83617-3470
Phone: (208) 365-3642
Fax: (208) 365-3687
Website:
Map and Directions
Authorized official contact:
Name: Fear, Paul Clark
Phone: (208) 365-3642

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1275386021
LBN Legal business name Summit Youth Academy, Inc
DBA Doing business as
Authorized official Fear, Paul Clark
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2024
Last updated Apr 10th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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