| NPI | 1023882040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI L. NELLIST Executive Director 615-536-5623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2024-12-11 |