| NPI | 1083832117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARA E. SMITH Therapist 423-727-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN L237M21261695) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: TN L237M21261695) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |