| NPI | 1073657136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER CUPP Clinical Director 865-813-0595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN L00000008625) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN L00000008626) | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN L00000008627) | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN L00000008628) | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN L00000008629) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN L00000008623) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: TN L00000009262) | |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: TN L00000008622) | |
| 252Y00000X Early Intervention Provider Agency (Licence: TN L00000008624) | |
| 253Z00000X In Home Supportive Care (Licence: TN L0000000008622) | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: TN L00000008624) | |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: TN L00000008623) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-03 |