| NPI | 1205218005 |
|---|---|
| Doing Business As | CFMG |
| Entity Type | Organization |
| Authorized Contact | RAYMOND KARL HERR Chief Medical Officer 931-901-3278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2017-06-29 |