| NPI | 1679604458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GAYDEN Executive Director 901-458-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN L 3(20)M2-046-6201) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2009-09-03 |