| NPI | 1487335857 |
|---|---|
| Former Legal Business Name | MAGNOLIA MEADOWS LLC |
| Entity Type | Organization |
| Authorized Contact | CONNIE MAZZA CEO 615-618-2243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2023-08-25 |