Organization
YOUTH VILLAGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY JOHNSON (SUPERVISOR)
(423) 954-8890
Entity
Organization
Contact information
Practice address
5726 MARLIN RD., STE. 200, CHATTANOOGA, TN 37411
(423) 954-8890
Mailing address
5726 MARLIN RD., STE. 200, CHATTANOOGA, TN 37411
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/01/2007
Last updated
08/22/2020
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