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General NPI Number Information
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NPI Number | 1245383942
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Entity Type | Organization
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Legal Business Name | YOUTH SERVICES INTERNATIONAL HOLDINGS, INC.
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 10/02/2008
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Provider Practice Location Address
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Address Line | 6628 CENTRAL AVENUE PIKE
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City | KNOXVILLE
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State | TN
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Zip | 37912-1400
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Country | US
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Telephone | 865-219-9444
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Fax | 865-219-9555
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Provider Business Mailing Address
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Address Line | 6628 CENTRAL AVENUE PIKE
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City | KNOXVILLE
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State | TN
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Zip | 37912-1400
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Country | US
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Telephone | 865-219-9444
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Fax | 865-219-9555
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAMES F SLATTERY
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Credential |
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Telephone | 941-953-9199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number | L 237-066-1401
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License Number State | TN
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