Organization
YOUTH VILLAGES, INC
Active
Other names
Inner Harbour
Organization subpart
No
Provider details
NPI number
Authorized official
DENEEN M ALEXANDER (DIRECTOR OF FINANCE)
(901) 251-4840
Entity
Organization
Contact information
Practice address
4685 DORSETT SHOALS RD, DOUGLASVILLE, GA 30135-4921
(770) 942-2391
Mailing address
3320 BROTHER BLVD, BARTLETT, TN 38133-8950
(901) 251-4840
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330507828A
—
GA
05
—
330507828B
—
GA
Enumeration date
11/13/2006
Last updated
09/01/2009
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