| NPI | 1073820130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN KING President 931-486-2274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: TN LSW0000004997) |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-09-09 |