Youth Villages
NPI #1649480930 in Houston, Mississippi
Provider Information
- NPI Number
- 1649480930
- Entity Type
- Organization
- Organization Name
- Youth Villages
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- May 23, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1504 COUNTY ROAD 402
- City
- Houston
- State
- Mississippi
- ZIP Code
- 38851-8201
- Phone
- (901) 282-9486
Authorized Official
- Name
- MRS. STEPHANIE LASHONE STANFIELD
- Title
- INTERCEPT FAMILY COUNSELOR
- Phone
- (901) 282-9486
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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