| NPI | 1023394186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HAROLD KILGORE Chief Executive Officer 423-639-9449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: TN SO10855A) |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: TN L000000007820) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2011-11-02 |