| NPI | 1154441210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD T NICKELL President 423-510-9504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist (Licence: TN P0000001470) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |