Organization
YOUTH VILLAGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA ANN BLAKE B.S. (FAMILY COUNSELOR)
(423) 954-8840
Entity
Organization
Contact information
Practice address
5726 MARLIN RD, FRANKLIN BUILDING, SUITE 200, CHATTANOOGA, TN 37411-4008
(423) 954-8890
(423) 954-8880
Mailing address
5726 MARLIN RD, FRANKLIN BUILDING, SUITE 200, CHATTANOOGA, TN 37411-4008
(423) 954-8890
(423) 954-8880
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/04/2007
Last updated
08/22/2020
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