# KEYSTONE MEMPHIS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** McDowell
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780756692
- **Authorized official:** RUSTY GOAD (ADMINISTRATOR)
- **Authorized official phone:** (731) 286-2861

## Contact information

- **Practice address:** 711 HWY 51 BY-PASS, DYERSBURG, TN 38024
- **Practice address phone:** (731) 286-2861
- **Practice address fax:** (731) 286-2869
- **Mailing address:** 711 HWY 51 BY-PASS, DYERSBURG, TN 38024
- **Mailing address phone:** (731) 286-2861
- **Mailing address fax:** (731) 286-2869

## Taxonomy

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

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 08/22/2020