Organization
KEYSTONE CONTINUUM, LLC
Active
Other names
Natchez Trace Youth Academy
Organization subpart
No
Provider details
NPI number
Authorized official
TOM HENNESSEY (ADMINISTRATOR)
(931) 296-1183
Entity
Organization
Contact information
Practice address
415 SEVEN HAWKS LN, WAVERLY, TN 37185-2536
(931) 296-1183
(931) 296-7576
Mailing address
415 SEVEN HAWKS LN, WAVERLY, TN 37185-2536
(931) 296-1183
(931) 296-7576
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
SO09869A
TN
Other
Enumeration date
07/19/2006
Last updated
08/22/2020
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