NPI | 1326318460 |
---|---|
Entity Type | Organization |
Authorized Contact | CLARA BUTLER Executive Director/Owner 901-314-3112 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: TN S7894) |
Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: TN S7894) |
Enumeration Date | 2012-01-06 |
Last Update Date | 2016-12-07 |