| NPI | 1255199949 |
|---|---|
| Former Legal Business Name | BROKEN HEALER HOME |
| Entity Type | Organization |
| Authorized Contact | NIRVA ACHE CEO 423-242-8551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-03-11 |