| NPI | 1033526819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIANAH VANLIER Owner 615-600-8036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: TN I000000013721) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-14 |