| NPI | 1346873056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE ROUSH Chief Operating Officer 865-414-5059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |