OrganizationActive
Youth Academy, LLC
NPI 1750508040 · Emotionally Disturbed Childrens' Residential Treatment Facility · Fairmont, WV
Provider details
- NPI number
- 1750508040
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Steven Fairley, Executive Director(304) 363-3341
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3 Crosswinds Dr
Fairmont, WV 26554-9193
Phone: (304) 363-3341
Fax: (304) 363-3342
Street-level locationGet directions
Mailing address
3 Crosswinds Dr
Fairmont, WV 26554-9193
Registry dates
- Enumerated
- 2007-04-19
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.