| NPI | 1568611879 |
|---|---|
| Former Legal Business Name | KIDS 1ST OF TENNESSEE, LLC OR CAMELOT OF TENNESSEE, LLC |
| Entity Type | Organization |
| Authorized Contact | TREY HOLT Executive Director 615-849-3939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TN L000000008454) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2012-01-13 |