| 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, Intellectual 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 |