| NPI | 1295459980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH DAVID DAVIS Executive Director 615-752-7502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2024-04-08 |