Keystone Continuum, LLC
Psychiatric Residential Treatment Facility in Mountain City, TN. Organization (NPI-2).
NPI number1124476643
StatusActive
Last updated in NPPESMay 25, 2016
Details
- NPI
- 1124476643
- Entity type
- Organization (NPI-2)
- Legal business name
- Keystone Continuum, LLC
- Organization subpart
- No
- Enumeration date
- May 25, 2016
- Last updated
- May 25, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 323P00000X | Psychiatric Residential Treatment Facility | L000000017337 | TN | Yes |
Other names
- Mountain Youth Academy (Doing Business As)
Practice location
332 Hospital RdMountain City, TN 37683-4309
Phone 423-727-9898
Mailing address
332 Hospital RdMountain City, TN 37683-4309
Authorized official
Eric Dunkerly
Ceo
4237279898
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Psychiatric Residential Treatment Facility providers in Mountain City, TN
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.