| NPI | 1174818702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON SCOTT CREWS Executive Director 931-722-2435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 104100000X Social Worker |
| 251S00000X | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: TN SO/10648A) | |
| Enumeration Date | 2011-06-11 |
| Last Update Date | 2020-10-19 |