| NPI | 1235276213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE MINTON Executive Director 423-626-6757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN L000000008714) |
| Additional Taxonomies | 251C00000X (Licence: TN L000000008714) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2013-03-25 |