| NPI | 1407998883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE D. MASON Senior Residential Counselor 901-252-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |