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44D0989537 CLIA NUMBER - YOUTH VILLAGES, INC ATTN GREG GREGORY

Laboratory Demographics

CLIA Number: 44D0989537

Facility Name: YOUTH VILLAGES, INC ATTN GREG GREGORY

Facility Address:
3320 BROTHER BLVD
MEMPHIS, TN
ZIP 38133
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Facility Phone Number: 901 251-5000

Facility Type: Other - RESIDENTIAL TREATMENT FAC

Certificate Type: Waiver
NPI Number: 1073167847

Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

CLIA Record

Field Name Field Value
CLIA Number 44D0989537
LAB Type Other - RESIDENTIAL TREATMENT FAC
Facility Name YOUTH VILLAGES, INC ATTN GREG GREGORY
Street 3320 BROTHER BLVD
City MEMPHIS
State TN
ZIP 38133
Phone 901 251-5000
CertificateType 4
CertificateEffectiveDate 3/13/2024
CertificateExpirationDate 3/12/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024