| NPI | 1316430937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON KIMMONS CEO 901-246-5376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2022-07-27 |