# YOUTH DIMENSIONS

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

## Provider details

- **NPI number:** 1679886006
- **Authorized official:** DOUGLAS LARON NEWSON (FINANCE ADMINISTRATOR)
- **Authorized official phone:** (901) 213-9000

## Contact information

- **Practice address:** 3385 AUSTIN PEAY HWY, MEMPHIS, TN 38128-3810
- **Practice address phone:** (901) 213-9000
- **Practice address fax:** (901) 213-9771
- **Mailing address:** 3385 AUSTIN PEAY HWY, MEMPHIS, TN 38128-3810
- **Mailing address phone:** (901) 213-9000
- **Mailing address fax:** (901) 213-9771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | 1621 | TN | Yes |

## Other

- **Enumeration date:** 07/14/2010
- **Last updated:** 07/14/2010
