| NPI | 1184001588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEM EDWARDS Executive Director 901-409-1785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 347C00000X Private Vehicle | |
| 171M00000X Case Manager/Care Coordinator | |
| 252Y00000X Early Intervention Provider Agency | |
| 174H00000X Health Educator | |
| 305S00000X Point of Service | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2017-01-10 |