| NPI | 1407251879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA DAWN DRAKE CEO 931-552-2769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251C00000X (Licence: TN L000000013100) |
| 251T00000X PACE Provider Organization (Licence: TN L000000013100) | |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care (Licence: TN L000000013100) | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN L000000013100) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN L000000013100) | |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |