| NPI | 1598075715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE ISIOMA IWORAH Administrator 615-942-9167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN 1000000005784) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |