Organization
KEYSTONE CONTINUUM, LLC
Active
Other names
Mountain Youth Academy
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC DUNKERLY (CEO)
(423) 727-9898
Entity
Organization
Contact information
Practice address
332 HOSPITAL RD, MOUNTAIN CITY, TN 37683-4309
(423) 727-9898
Mailing address
332 HOSPITAL RD, MOUNTAIN CITY, TN 37683-4309
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
L000000017337
TN
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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