Organization
YOUTH VILLAGES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA BONNER M.S, NCC (SPECIALIZED CRISIS COUNSELOR)
(901) 320-6125
Entity
Organization
Contact information
Practice address
2714 UNION AVENUE EXT, MEMPHIS, TN 38112-4436
(901) 320-6100
Mailing address
1350 SNOWDEN AVE, MEMPHIS, TN 38107-4829
(901) 333-9461
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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