Whalio Doctors

NPI 1861687899

The Agency for Youth and Family Development

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Memphis, TN

Practice location

Address
1071 Mullins Station Rd, Memphis, TN 38134-7723
Phone
(901) 387-5840
Fax
(901) 387-5739

Authorised official

Name
Gerald Jerome Jordan
Title
Ceo
Phone
(901) 387-5840

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence L237M30176449 (TN)

Registry record

NPI
1861687899
Entity type
Organization
NPI issued
12 Sep 2007
Record last updated
12 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.