| NPI | 1124463849 |
|---|---|
| Doing Business As | GIBSON PLACE 210 |
| Entity Type | Organization |
| Authorized Contact | KRISTIE HAMMONDS President & CEO 423-467-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: TN I000000012508) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2020-01-10 |