| NPI | 1538269915 |
|---|---|
| Doing Business As | BRISTOL BOYS HOME |
| Entity Type | Organization |
| Authorized Contact | JAMES KILGORE Chief Executive Officer 423-639-9449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA ss-304-06) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |