Organization
YOUTH VILLAGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONSTANCE D. MASON M.S.W. (SENIOR RESIDENTIAL COUNSELOR)
(901) 252-7788
Entity
Organization
Contact information
Practice address
7426 MEMPHIS ARLINGTON RD, MEMPHIS, TN 38135-1908
(901) 252-7788
(901) 252-7990
Mailing address
7426 MEMPHIS ARLINGTON RD, MEMPHIS, TN 38135-1908
(901) 252-7788
(901) 252-7990
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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