NPI | 1073735643 |
---|---|
Doing Business As | FAIMOUNT GROUP HOME |
Doing Business As | FAIRMOUNT GROUP HOME |
Entity Type | Organization |
Authorized Contact | KRISTIE HAMMONDS President And CEO 423-467-3600 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN L 324-076-1411) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2020-01-10 |