| NPI | 1093117665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELLA MAE SKINNER Director 901-413-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2015-12-23 |