| NPI | 1457579146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY MICHAEL KOPANSKY Executive Director 615-641-6446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN L323-066-3325) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |