NPI | 1508917642 |
---|---|
Doing Business As | SUPPORTED LIVING - KINGSPORT |
Entity Type | Organization |
Authorized Contact | TERESA M KIDD President And CEO 423-467-3600 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TN L 3(20)24M3-076-1414) |
Enumeration Date | 2007-01-16 |
Last Update Date | 2018-10-05 |