| NPI | 1285294306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN O JOHNSON President/Owner 901-730-0368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-07-09 |