# HIGHLAND YOUTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164652392
- **Authorized official:** VINCENT DEKONING (CEO)
- **Authorized official phone:** (931) 796-2039

## Contact information

- **Practice address:** 116 KITTRELL ST, HOHENWALD, TN 38462-1363
- **Practice address phone:** (931) 796-4400
- **Practice address fax:** (931) 796-4492
- **Mailing address:** 116 KITTRELL ST, HOHENWALD, TN 38462-1363
- **Mailing address phone:** (931) 796-4400
- **Mailing address fax:** (931) 796-4492

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/22/2009
- **Last updated:** 07/22/2009