Organization
YOUTH VILLAGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIISHA WILLIAMS LMSW (SPECIALIZED CRISIS COUNSELOR)
(901) 320-6122
Entity
Organization
Contact information
Practice address
2714 UNION AVENUE EXT, MEMPHIS, TN 38112-4436
(901) 907-6200
Mailing address
2714 UNION AVENUE EXT, MEMPHIS, TN 38112-4436
(901) 907-6200
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
9103
TN
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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