| NPI | 1578627006 |
|---|---|
| Doing Business As | HOLSTON CHILDREN & YOUTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | TERESA M KIDD President And CEO 423-467-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: TN L 214-076-1417) |
| Additional Taxonomies | 251B00000X Case Management (Licence: TN L 214-076-1417) |
| 251S00000X Community/Behavioral Health (Licence: TN L 214-076-1417) | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: TN 316) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2018-12-12 |