OrganizationActive
The Agency for Youth and Family Development
NPI 1861687899 · Emotionally Disturbed Childrens' Residential Treatment Facility · Memphis, TN
Provider details
- NPI number
- 1861687899
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- The Agency for Youth and Family Development
- Organization subpart
- Yes
- Authorized official
- Gerald Jordan, Ceo(901) 387-5840
- License
- L237M30176449 (TN)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense L237M30176449 (TN)
Residential Treatment Facilities
Practice location
1071 Mullins Station Rd
Memphis, TN 38134-7723
Phone: (901) 387-5840
Fax: (901) 387-5739
Approximate (ZIP-level) locationGet directions
Mailing address
1071 Mullins Station Rd
Memphis, TN 38134-7723
Registry dates
- Enumerated
- 2007-09-12
- Last updated
- 2007-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.