| NPI | 1043675481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY C HULBERT CEO 901-497-9177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: TN L000000014215) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: TN L000000014215) |
| 251S00000X Community/Behavioral Health (Licence: TN L000000014215) | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: TN L000000014215) | |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |