NPI | 1699812255 |
---|---|
Entity Type | Organization |
Authorized Contact | JEANENE L. HOUSTON Executive Director 931-484-2535 |
Organization Subpart ? | No |
Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: TN L000000009383) |
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN L3(20)4M6-096-1518) | |
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
Enumeration Date | 2007-01-31 |
Last Update Date | 2021-12-15 |