Organization
YAYA'S PLACE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVEN MARSHALL (OWNER)
(901) 859-9830
Entity
Organization
Contact information
Practice address
8200 OLD DEXTER RD STE 103, CORDOVA, TN 38016-0542
(901) 859-9830
Mailing address
8200 OLD DEXTER RD STE 103, CORDOVA, TN 38016-0542
(901) 859-9830
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
09/29/2021
Last updated
10/09/2021
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