NPI | 1740577568 |
---|---|
Entity Type | Organization |
Authorized Contact | VICKI TENCH Business Office Director 615-250-0283 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: VA 630-14-004) |
Enumeration Date | 2011-06-30 |
Last Update Date | 2011-06-30 |