| Youth Villages | |
|
3915 Bristol Hwy Johnson City TN 37601-1400 | |
| (423) 283-6500 | |
| (423) 283-6550 |
| Full Name | Youth Villages |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3915 Bristol Hwy, Johnson City, Tennessee |
| Authorized Official Name and Position | Julie Eleanora Calogero (CLINICAL SUPERVISOR) |
| Authorized Official Contact | 4232836500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Villages 3915 Bristol Hwy Johnson City TN 37601-1400 Ph: (423) 283-6500 | Youth Villages 3915 Bristol Hwy Johnson City TN 37601-1400 Ph: (423) 283-6500 |
| NPI Number | 1437291051 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437291051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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