| NPI | 1598809105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE TRIPLETT Administrator 901-767-1455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN L3(20)4M3-086-6336) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |