# KEYSTONE CONTINUUM, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Natchez Trace Youth Academy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902825151
- **Authorized official:** TOM HENNESSEY (ADMINISTRATOR)
- **Authorized official phone:** (931) 296-1183

## Contact information

- **Practice address:** 415 SEVEN HAWKS LN, WAVERLY, TN 37185-2536
- **Practice address phone:** (931) 296-1183
- **Practice address fax:** (931) 296-7576
- **Mailing address:** 415 SEVEN HAWKS LN, WAVERLY, TN 37185-2536
- **Mailing address phone:** (931) 296-1183
- **Mailing address fax:** (931) 296-7576

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | SO09869A | TN | Yes |

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 08/22/2020