| NPI | 1699812255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANENE L. HOUSTON Executive Director 931-484-2535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251C00000X (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 |