| NPI | 1609524891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINGER DAVIS CFO 423-303-1914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2023-04-27 |