| NPI | 1700033214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHAL HUDDLESTON Owner/ Operator 865-850-2332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: TN L219-058-4352) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-08-26 |