NPI | 1013141407 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID AGYAPONG CEO 615-310-6325 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH3254) |
Enumeration Date | 2009-05-13 |
Last Update Date | 2023-12-19 |