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Organization
YOUTH VILLAGES
Active
Organization
YOUTH VILLAGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY SAMS MA (REGIONAL SUPERVISOR)
(865) 560-2550
Entity
Organization
Contact information
Practice address
9111 CROSS PARK DR, KNOXVILLE, TN 37923-4506
(865) 560-2550
Mailing address
2323 WILSON RD, KNOXVILLE, TN 37912-6154
(865) 560-2550
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/08/2007
Last updated
08/22/2020
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