Cassandra Woodruff Youth Center in Chattanooga - Residential Treatment Facility, Emotionally Disturbed Children
Cassandra Woodruff Youth Center - NPI 1164417465
Cassandra Woodruff Youth Center is a Residential Treatment Facility, Emotionally Disturbed Children in Chattanooga, Tennessee. Cassandra Woodruff Youth Center practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Cassandra Woodruff Youth Center is 1164417465. The last update date is 2020-08-22.
Cassandra Woodruff Youth Center's current location address is 605 Hemphill Cir, Chattanooga, Tennessee. You can contact this provider via phone number 4236980229. The mailing address for Cassandra Woodruff Youth Center is 605 Hemphill Cir, Chattanooga, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Cassandra Woodruff Youth Center |
|---|---|
| Address | 605 Hemphill Cir, Chattanooga, Tennessee |
| Phone Number | 4236980229 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Woodruff Cassandra |
| Credentials | M.A. |
| Telephone Number | 4234931867 |
NPI Number Detail
| NPI Number | 1164417465 |
|---|---|
| Provider Enumeration Date | 2005-09-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 605 Hemphill Cir |
|---|---|
| City | Chattanooga |
| State | Tennessee (TN) |
| Post Code | 374112912 |
| Phone Number | 4236980229 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | SO/CO286 |
|
Definition: 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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What is the Cassandra Woodruff Youth Center's unique identification number?
The Cassandra Woodruff Youth Center has been assigned the NPI (National Provider Identifier) Number 1164417465 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Cassandra Woodruff Youth Center's physical address?
The Cassandra Woodruff Youth Center is physically located at 605 Hemphill Cir, in the city of Chattanooga, TN, with the postal code 374112912.
What is Cassandra Woodruff Youth Center's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Cassandra Woodruff Youth Center is Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy code that categorizes this field of expertise is 322D00000X.
On what date did the Cassandra Woodruff Youth Center receive its 1164417465 assignment from the Centers for Medicare & Medicaid Services?
The Cassandra Woodruff Youth Center was assigned its 1164417465 by the Centers for Medicare & Medicaid Services on 2005-09-13.
As of what date were the details related to Cassandra Woodruff Youth Center most recently updated or revised?
The information pertaining to Cassandra Woodruff Youth Center, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
NPI Number: 1588667679
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