| NPI | 1376088146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH DEVERNA Owner/Operator Of Business Affairs 615-489-9972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2020-09-08 |