Organization
YOUTH DIMENSIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS LARON NEWSON (FINANCE ADMINISTRATOR)
(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
323P00000X
Psychiatric Residential Treatment Facility
Primary
0000006356
TN
Other
Enumeration date
07/14/2010
Last updated
07/14/2010
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