| NPI | 1063877124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES IDOYE Owner 615-545-7055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385H00000X Respite Care | |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |