| NPI | 1609949007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY CROCKETT MEECE Chief Officer 423-787-6568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN 711) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-11-29 |