NPI | 1245398908 |
---|---|
Other Name | CAMELOT OF TENNESSEE |
Entity Type | Organization |
Authorized Contact | RUSSELL LEE HEMBREE Executive Director 865-376-2296 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: TN L000000008435) |
Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: TN L 2(37)M3-016-1155) |
Enumeration Date | 2006-12-05 |
Last Update Date | 2011-09-08 |