| NPI | 1144464520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLE R MASON Executive Director 615-915-2593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: TN I000000004061) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2009-04-29 |