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Organization

CASSANDRA WOODRUFF YOUTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CASSANDRA WOODRUFF M.A. (DIRECTOR)
(423) 493-1867
Entity
Organization

Contact information

Practice address
605 HEMPHILL CIR, CHATTANOOGA, TN 37411-2912
(423) 698-0229
Mailing address
2711 BENTON AVE, CHATTANOOGA, TN 37406-3621
(423) 493-1867

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
SO/CO286
TN

Other

Enumeration date
09/13/2005
Last updated
08/22/2020
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