Organization
YOUTH VILLAGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IVAN MICHAEL HERRERA BS (FAMILY COUNSELOR)
(615) 423-1227
Entity
Organization
Contact information
Practice address
93 NANCE LN APT C8, NASHVILLE, TN 37210-4341
(615) 423-1227
Mailing address
93 NANCE LN APT C8, NASHVILLE, TN 37210-4341
(615) 423-1227
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/04/2008
Last updated
04/04/2008
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