Summit Youth Academy, INC

NPI #1275386021 in Emmett, Idaho

Provider Information

NPI Number: 1275386021
Entity Type: Organization
Organization Name: Summit Youth Academy, INC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Apr 10, 2024
Last Updated: Apr 10, 2024

Practice Location

Address: 330 W MAIN ST
City: Emmett
State: Idaho
ZIP Code: 83617-3470
Phone: (208) 365-3642

Authorized Official

Name: MR. PAUL CLARK FEAR
Title: OWNER/ADMINISTRATOR
Phone: (208) 365-3642

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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