| NPI | 1588973309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMONT INGRAM Founder/CEO 731-215-2345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-28 |