| NPI | 1699260273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEMELES NEGASH CEO 615-600-2373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-26 |