| NPI | 1104033976 |
|---|---|
| Doing Business As | GREAT RIVER RESIDENTIAL ACADEMY |
| Entity Type | Organization |
| Authorized Contact | LUTHER RAMSAY Vice President 615-327-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: AR 20102) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |