Organization · Type 2 NPI

Cassandra Woodruff Youth Center

Emotionally Disturbed Childrens' Residential Treatment Facility · Chattanooga, TN

NPI number 1164417465 Active

Practice location

605 Hemphill Cir
Chattanooga, TN 37411-2912

Mailing address

2711 Benton Ave
Chattanooga, TN 37406-3621

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XSO/CO286 (TN)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1164417465

Cassandra Woodruff Youth Center's National Provider Identifier is 1164417465, issued on Sep 13, 2005. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Chattanooga, TN. The record was last updated on Aug 22, 2020.