| NPI | 1053548099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA RENEE BANNER Director 423-282-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: TN l000000004479) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2009-06-17 |