| NPI | 1568866408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA W AMOS CEO 615-390-7363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2014-10-21 |