| NPI | 1477727824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM TRAVIS EDWARDS Counselor 931-223-5840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |