| NPI | 1396888574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM D. GILLEN Executive Director 423-798-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: TN L 3(20)4M6-056-1334) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2025-02-17 |