| NPI | 1508098187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINGER R BENNETT Prn Counselor 931-461-0290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2009-08-17 |