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 Day Training, Developmentally Disabled Services |
Enumeration Date | 2018-06-08 |
Last Update Date | 2022-07-27 |