Organization
YOUTH DIMENSIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODERICK E SCOTT (EXECUTIVE DIRECTOR)
(901) 213-9000
Entity
Organization
Contact information
Practice address
3385 AUSTIN PEAY HWY, MEMPHIS, TN 38128-3810
(901) 213-9000
(901) 213-9771
Mailing address
3385 AUSTIN PEAY HWY, MEMPHIS, TN 38128-3810
(901) 213-9000
(901) 213-9771
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
L2370486769
TN
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
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