| NPI | 1386867380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA GAIL BILBREY Operations Director 931-537-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: TN L3204M51063601) |
| Additional Taxonomies | 251C00000X (Licence: TN L3204M51063601) |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN L3204M51063601) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |