Organization
KEYSTONE MEMPHIS, LLC
Active
Other names
McDowell
Organization subpart
No
Provider details
NPI number
Authorized official
RUSTY GOAD (ADMINISTRATOR)
(731) 286-2861
Entity
Organization
Contact information
Practice address
711 HWY 51 BY-PASS, DYERSBURG, TN 38024
(731) 286-2861
(731) 286-2869
Mailing address
711 HWY 51 BY-PASS, DYERSBURG, TN 38024
(731) 286-2861
(731) 286-2869
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/15/2006
Last updated
08/22/2020
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