Organization
YOUTH VILLAGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARRIE ANNE PETTY (PLACEMENT COORDINATOR)
(731) 288-4623
Entity
Organization
Contact information
Practice address
47 KEY CORNER RD, HALLS, TN 38040-5051
(731) 288-4623
(731) 288-4650
Mailing address
47 KEY CORNER RD, HALLS, TN 38040
(731) 288-4623
(731) 288-4650
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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