Youth Town Of Tennessee, Inc.

LBN: Youth Town Of Tennessee, Inc.
Youth Town Of Tennessee, Inc. is an health care organization with primary practice located at 3641 Youth Town Rd , Pinson TN 38366-9804. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Youth Town Of Tennessee, Inc. can be contacted via phone (731) 988-5251, or through Summar, Nick via phone (731) 988-5251.

Contact Information

Primary practice address
3641 Youth Town Rd Pinson TN 38366-9804
Phone: (731) 988-5251
Fax: (731) 427-5605
Website:
Map and Directions
Authorized official contact:
Name: Summar, Nick
Phone: (731) 988-5251

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X I000000002836 Tennessee
Behavioral Health & Social Service Providers / Mental Health 101YM0800X I000000002836 Tennessee
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 0000000507 Tennessee

Profile Details

NPI number 1902996721
LBN Legal business name Youth Town Of Tennessee, Inc.
DBA Doing business as
Authorized official Summar, Nick
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2006
Last updated Jun 17th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902996721 NPPES
Tennessee MEDICAID 5441227

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