NPI | 1467910992 |
---|---|
Entity Type | Organization |
Authorized Contact | RITA JAKPOR Executive Director 615-525-7387 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2019-03-04 |
Last Update Date | 2019-03-04 |