| NPI | 1629360375 |
|---|---|
| Doing Business As | DIVISON FOR DEVELOPMENT AND INTELLECTUAL DISABILITIES |
| Entity Type | Organization |
| Authorized Contact | ANJALI VASISHTA Occupational Therapist 901-745-7573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN OT1340) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |