| NPI | 1386663516 |
|---|---|
| Doing Business As | KEYSTONE MARION YOUTH CENTER |
| Entity Type | Organization |
| Authorized Contact | DAVID DUNCAN Administrator 276-782-1990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: VA 84114002) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |